Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.11 / $439.56 / $5,042.39	Facility		$103.11	$439.56	$5,042.39
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $323.20 / $871.42 / $997.92	Facility	50	$323.20	$871.42	$997.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $103.68 / $238.64	Professional		$56.65	$103.68	$238.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $209.00 / $209.00 / $262.64	Professional	50	$209.00	$209.00	$262.64
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 $51.94 / $66.42 / $91.09	Professional		$51.94	$66.42	$91.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.91 / $99.63 / $136.63	Professional	50	$77.91	$99.63	$136.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $93.43 / $974.00	Professional		$61.96	$93.43	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $120.25 / $270.51	Professional		$62.75	$120.25	$270.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $177.54 / $218.97	Professional		$147.94	$177.54	$218.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $127.13 / $249.91	Facility		$66.29	$127.13	$249.91
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $151.91 / $217.08 / $414.62	Facility	50	$151.91	$217.08	$414.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $140.00 / $232.00	Professional		$117.00	$140.00	$232.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $77.69 / $805.00	Facility		$58.44	$77.69	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $178.35 / $805.00	Professional		$103.83	$178.35	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $146.09 / $306.87	Professional		$97.65	$146.09	$306.87