Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $95.17 / $282.33	Facility		$30.97	$95.17	$282.33
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $199.57 / $345.05 / $564.67	Facility	50	$199.57	$345.05	$564.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $48.96 / $93.22	Professional		$30.96	$48.96	$93.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $211.67 / $211.67 / $211.67	Professional	50	$211.67	$211.67	$211.67
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 $24.24 / $30.65 / $51.16	Professional		$24.24	$30.65	$51.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.95 / $45.97 / $76.75	Professional	50	$35.95	$45.97	$76.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $30.49 / $822.00	Professional		$29.84	$30.49	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Facility		$44.88	$44.88	$44.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $58.11 / $112.44	Professional		$30.35	$58.11	$112.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $77.45 / $91.55	Professional		$60.03	$77.45	$91.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $59.30 / $98.98	Facility		$30.97	$59.30	$98.98
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $90.00 / $114.00 / $235.52	Facility	50	$90.00	$114.00	$235.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $74.00 / $116.00	Professional		$64.31	$74.00	$116.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $41.88 / $370.00	Facility		$27.92	$41.88	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $72.42 / $370.00	Professional		$51.07	$72.42	$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 $42.24 / $69.98 / $121.33	Professional		$42.24	$69.98	$121.33