Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.57 / $1,346.00 / $5,743.00	Facility		$132.57	$1,346.00	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,811.92 / $8,811.92 / $8,811.92	Facility	50	$8,811.92	$8,811.92	$8,811.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $117.51 / $213.83	Professional		$60.44	$117.51	$213.83
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 $62.56 / $80.95 / $133.85	Professional		$62.56	$80.95	$133.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $94.96 / $121.44 / $201.57	Professional	50	$94.96	$121.44	$201.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $74.70 / $2,012.00	Professional		$68.02	$74.70	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $119.82 / $420.00	Facility		$119.82	$119.82	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $125.11 / $213.45	Professional		$69.28	$125.11	$213.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $162.44 / $191.35	Professional		$126.91	$162.44	$191.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.08 / $132.57 / $225.37	Facility		$72.08	$132.57	$225.37
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $223.82 / $311.14 / $475.33	Facility	50	$223.82	$311.14	$475.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $181.65 / $236.32	Professional		$145.00	$181.65	$236.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $91.32 / $780.00	Facility		$66.12	$91.32	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $166.41 / $780.00	Professional		$118.48	$166.41	$780.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $157.07 / $234.06	Professional		$92.20	$157.07	$234.06