Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.84 / $1,233.00 / $8,294.00	Facility		$97.84	$1,233.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,032.38 / $3,512.52 / $3,512.52	Facility	50	$2,032.38	$3,512.52	$3,512.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $147.54 / $375.52	Professional		$68.31	$147.54	$375.52
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 $65.14 / $159.93 / $468.19	Professional		$65.14	$159.93	$468.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $71.69 / $676.00	Professional		$71.69	$71.69	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $165.37 / $487.63	Professional		$71.84	$165.37	$487.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $359.96 / $441.13	Professional		$299.97	$359.96	$441.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $217.95 / $446.54	Facility		$74.56	$217.95	$446.54
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $228.25 / $326.93 / $811.73	Facility	50	$228.25	$326.93	$811.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $221.18 / $477.00	Professional		$202.00	$221.18	$477.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.68 / $93.65 / $186.71	Facility		$67.68	$93.65	$186.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $300.95 / $688.30	Professional		$186.71	$300.95	$688.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.43 / $266.56 / $528.44	Professional		$177.43	$266.56	$528.44