Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $776.25 / $5,754.40	Facility		$95.50	$776.25	$5,754.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility	50	$12,302.69	$12,302.69	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $275.42	Professional		$57.54	$109.65	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $389.05 / $977.24	Professional	50	$371.54	$389.05	$977.24
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 $56.23 / $83.18 / $141.25	Professional		$56.23	$83.18	$141.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $125.89 / $213.80	Professional	50	$85.11	$125.89	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $2,511.89	Professional		$57.54	$83.18	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $218.78	Professional		$63.10	$112.20	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $158.49	Professional		$104.71	$131.83	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $295.12	Professional		$234.42	$269.15	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $107.15 / $223.87	Facility		$58.88	$107.15	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $2,290.87	Facility		$58.88	$85.11	$2,290.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $2,290.87	Professional		$102.33	$169.82	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,981.07	Facility		$1,071.52	$2,089.30	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $223.87	Professional		$50.12	$97.72	$223.87