Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.10 / $1,938.00 / $8,294.00	Facility		$93.10	$1,938.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $579.70 / $925.50 / $1,123.50	Facility	50	$579.70	$925.50	$1,123.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $162.40 / $322.02	Professional		$86.41	$162.40	$322.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $142.69 / $537.54 / $537.54	Professional	50	$142.69	$537.54	$537.54
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 $72.13 / $166.57 / $263.68	Professional		$72.13	$166.57	$263.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $108.19 / $249.86 / $395.52	Professional	50	$108.19	$249.86	$395.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $139.02 / $1,013.00	Professional		$97.80	$139.02	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $190.92 / $337.01	Professional		$85.99	$190.92	$337.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.47 / $224.96 / $277.45	Professional		$187.47	$224.96	$277.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $200.38 / $348.15	Facility		$92.50	$200.38	$348.15
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $200.32 / $343.47 / $565.28	Facility	50	$200.32	$343.47	$565.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $251.00 / $361.00	Professional		$213.00	$251.00	$361.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $127.22 / $1,169.82	Facility		$77.00	$127.22	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $171.89 / $239.39 / $1,169.82	Professional		$171.89	$239.39	$1,169.82
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 $139.91 / $247.17 / $372.44	Professional		$139.91	$247.17	$372.44