Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.02 / $1,346.00 / $8,202.60	Facility		$315.02	$1,346.00	$8,202.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $503.00 / $932.00 / $3,051.96	Facility	50	$503.00	$932.00	$3,051.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $155.91 / $271.61	Professional		$123.07	$155.91	$271.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $160.74 / $221.84	Professional		$125.69	$160.74	$221.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $213.09 / $916.00	Professional		$150.58	$213.09	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $185.23 / $344.74	Professional		$135.78	$185.23	$344.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $153.47 / $189.29	Professional		$127.90	$153.47	$189.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.58 / $184.26 / $254.71	Facility		$138.58	$184.26	$254.71
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $272.67 / $303.10 / $411.12	Facility	50	$272.67	$303.10	$411.12
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $36.36 / $40.40 / $54.82	Facility	80	$36.36	$40.40	$54.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $25.45 / $28.29 / $38.36	Facility	AS	$25.45	$28.29	$38.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $190.00 / $338.00	Professional		$162.00	$190.00	$338.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $140.71 / $179.26 / $805.00	Facility		$140.71	$179.26	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $179.26 / $805.00	Professional		$140.71	$179.26	$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 $118.88 / $203.50 / $304.77	Professional		$118.88	$203.50	$304.77