Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.81 / $249.01 / $431.60	Facility		$44.81	$249.01	$431.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $298.89 / $565.66 / $768.42	Facility	50	$298.89	$565.66	$768.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $56.53 / $118.89	Professional		$25.77	$56.53	$118.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $294.58 / $294.58 / $315.23	Professional	50	$294.58	$294.58	$315.23
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 $23.75 / $31.05 / $51.72	Professional		$23.75	$31.05	$51.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.61 / $46.57 / $77.59	Professional	50	$35.61	$46.57	$77.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $22.86 / $822.00	Professional		$22.86	$22.86	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $45.65 / $640.00	Facility		$45.65	$45.65	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $74.97 / $149.16	Professional		$25.05	$74.97	$149.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $107.81 / $127.41	Professional		$83.35	$107.81	$127.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $79.31 / $143.91	Facility		$27.68	$79.31	$143.91
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $96.41 / $169.05 / $325.29	Facility	50	$96.41	$169.05	$325.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $110.00 / $157.01	Professional		$74.00	$110.00	$157.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $38.13 / $416.39	Facility		$15.41	$38.13	$416.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $110.10 / $425.15	Professional		$70.44	$110.10	$425.15
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $777.00 / $2,350.00	Facility		$231.00	$777.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $104.19 / $169.14	Professional		$72.78	$104.19	$169.14