Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $1,397.00 / $5,778.00	Facility		$99.02	$1,397.00	$5,778.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,433.62 / $12,433.62 / $12,433.62	Facility	50	$12,433.62	$12,433.62	$12,433.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $100.49 / $154.88	Professional		$58.40	$100.49	$154.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $982.35 / $982.35 / $982.35	Professional	50	$982.35	$982.35	$982.35
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 $53.16 / $67.98 / $112.40	Professional		$53.16	$67.98	$112.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.75 / $101.98 / $168.61	Professional	50	$79.75	$101.98	$168.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $71.54 / $2,012.00	Professional		$63.55	$71.54	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $100.02 / $420.00	Facility		$100.02	$100.02	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $112.54 / $222.06	Professional		$63.63	$112.54	$222.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $119.86 / $141.61	Professional		$93.64	$119.86	$141.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.12 / $121.75 / $214.98	Facility		$64.12	$121.75	$214.98
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $192.29 / $266.43 / $435.25	Facility	50	$192.29	$266.43	$435.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $158.00 / $243.00	Professional		$135.72	$158.00	$243.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.88 / $86.92 / $780.00	Facility		$59.88	$86.92	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $163.50 / $780.00	Professional		$102.13	$163.50	$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 $81.70 / $156.69 / $264.22	Professional		$81.70	$156.69	$264.22