Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.76 / $3,226.00 / $8,294.00	Facility		$106.76	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $116.01 / $207.33	Professional		$54.60	$116.01	$207.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $174.53 / $174.53 / $174.53	Professional	50	$174.53	$174.53	$174.53
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 $50.55 / $63.67 / $106.29	Professional		$50.55	$63.67	$106.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.68 / $95.50 / $159.43	Professional	50	$74.68	$95.50	$159.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $65.63 / $1,757.00	Professional		$59.56	$65.63	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $92.61 / $420.00	Facility		$92.61	$92.61	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $128.08 / $211.25	Professional		$63.80	$128.08	$211.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $134.22 / $158.63	Professional		$104.24	$134.22	$158.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $140.47 / $223.57	Facility		$78.90	$140.47	$223.57
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $194.18 / $291.42 / $489.51	Facility	50	$194.18	$291.42	$489.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $183.00 / $206.00	Professional		$152.94	$183.00	$206.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.55 / $108.84 / $755.00	Facility		$59.55	$108.84	$755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $167.72 / $755.00	Professional		$116.32	$167.72	$755.00
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 $91.26 / $147.15 / $243.57	Professional		$91.26	$147.15	$243.57