Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $1,397.00 / $5,743.00	Facility		$110.87	$1,397.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $116.07 / $191.55	Professional		$62.29	$116.07	$191.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $207.42 / $207.42 / $207.42	Professional	50	$207.42	$207.42	$207.42
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 $57.71 / $74.67 / $124.65	Professional		$57.71	$74.67	$124.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.58 / $112.00 / $186.98	Professional	50	$87.58	$112.00	$186.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $71.69 / $2,012.00	Professional		$65.17	$71.69	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $110.60 / $420.00	Facility		$110.60	$110.60	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $138.53 / $245.96	Professional		$67.59	$138.53	$245.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.26 / $196.76 / $232.53	Professional		$152.26	$196.76	$232.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $146.50 / $251.76	Facility		$71.73	$146.50	$251.76
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $230.72 / $314.81 / $570.91	Facility	50	$230.72	$314.81	$570.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $187.00 / $280.82	Professional		$158.00	$187.00	$280.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.80 / $94.34 / $780.00	Facility		$62.80	$94.34	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $195.88 / $780.00	Professional		$138.75	$195.88	$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 $106.44 / $179.56 / $295.68	Professional		$106.44	$179.56	$295.68