Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $247.80 / $2,880.50	Facility		$65.06	$247.80	$2,880.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $73.65 / $122.60	Professional		$48.10	$73.65	$122.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $224.24 / $224.24 / $226.48	Professional	50	$224.24	$224.24	$226.48
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 $45.09 / $58.95 / $97.46	Professional		$45.09	$58.95	$97.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.64 / $88.42 / $146.19	Professional	50	$67.64	$88.42	$146.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $42.92 / $822.00	Professional		$42.92	$42.92	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $84.93 / $84.93	Facility		$84.93	$84.93	$84.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $77.41 / $134.02	Professional		$51.40	$77.41	$134.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $92.25 / $109.02	Professional		$71.47	$92.25	$109.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.97 / $79.48 / $126.22	Facility		$50.97	$79.48	$126.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $101.07 / $130.00	Professional		$88.00	$101.07	$130.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.03 / $63.62 / $370.00	Facility		$46.03	$63.62	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $90.42 / $370.00	Professional		$65.59	$90.42	$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 $53.83 / $86.66 / $132.49	Professional		$53.83	$86.66	$132.49