Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $831.76 / $5,888.44	Facility		$75.86	$831.76	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,047.13 / $1,230.27 / $7,762.47	Facility	50	$1,047.13	$1,230.27	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $257.04 / $549.54	Professional		$52.48	$257.04	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $239.88 / $645.65	Professional		$54.95	$239.88	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $2,511.89	Professional		$56.23	$85.11	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $154.88 / $707.95	Professional		$56.23	$154.88	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $489.78 / $1,174.90	Professional		$44.67	$489.78	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,000.00	Professional		$616.60	$758.58	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $371.54 / $741.31	Facility		$58.88	$371.54	$741.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $3,311.31	Facility		$51.29	$74.13	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $3,311.31	Professional		$331.13	$549.54	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,981.07	Facility		$1,096.48	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $158.49 / $741.31	Professional		$48.98	$158.49	$741.31