Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.05 / $812.00 / $5,743.00	Facility		$118.05	$812.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $187.41 / $375.89	Professional		$77.13	$187.41	$375.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.81 / $233.32 / $360.59	Professional	50	$74.81	$233.32	$360.59
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 $70.68 / $90.39 / $123.96	Professional		$70.68	$90.39	$123.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $106.02 / $135.58 / $185.95	Professional	50	$106.02	$135.58	$185.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $116.45 / $1,013.00	Professional		$79.92	$116.45	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $210.69 / $427.23	Professional		$87.45	$210.69	$427.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.70 / $274.44 / $339.31	Professional		$228.70	$274.44	$339.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $229.40 / $393.63	Facility		$90.41	$229.40	$393.63
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $207.97 / $349.64 / $648.37	Facility	50	$207.97	$349.64	$648.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $284.00 / $457.30	Professional		$229.00	$284.00	$457.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.18 / $107.41 / $819.00	Facility		$81.18	$107.41	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $286.52 / $962.11	Professional		$191.25	$286.52	$962.11
United Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $828.00 / $2,364.00	Facility		$217.00	$828.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $258.35 / $493.79	Professional		$160.43	$258.35	$493.79