Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $295.80 / $2,491.42	Facility		$71.59	$295.80	$2,491.42
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $226.28 / $452.36 / $2,616.00	Facility	50	$226.28	$452.36	$2,616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $66.76 / $112.05	Professional		$39.95	$66.76	$112.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $184.03 / $184.03 / $184.03	Professional	50	$184.03	$184.03	$184.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $47.95 / $79.27	Professional		$36.68	$47.95	$79.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $55.02 / $71.92 / $118.91	Professional	50	$55.02	$71.92	$118.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $35.31 / $822.00	Professional		$35.31	$35.31	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $68.02 / $68.02	Facility		$68.02	$68.02	$68.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $71.53 / $118.46	Professional		$42.17	$71.53	$118.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $85.75 / $101.34	Professional		$66.26	$85.75	$101.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $71.59 / $114.70	Facility		$42.44	$71.59	$114.70
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $106.77 / $145.50 / $250.11	Facility	50	$106.77	$145.50	$250.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $92.06 / $118.00	Professional		$80.00	$92.06	$118.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $51.77 / $370.00	Facility		$37.97	$51.77	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $84.19 / $370.00	Professional		$61.06	$84.19	$370.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $75.64 / $124.75	Professional		$46.87	$75.64	$124.75