Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,949.84 / $7,079.46	Facility		$91.20	$1,949.84	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $275.42	Professional		$52.48	$104.71	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.20 / $245.47 / $512.86	Professional	50	$18.20	$245.47	$512.86
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 $53.70 / $79.43 / $134.90	Professional		$53.70	$79.43	$134.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $120.23 / $199.53	Professional	50	$81.28	$120.23	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $2,511.89	Professional		$58.88	$79.43	$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 / $117.49 / $208.93	Professional		$63.10	$117.49	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $141.25	Professional		$93.33	$120.23	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $239.88	Professional		$194.98	$234.42	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $117.49 / $223.87	Facility		$60.26	$117.49	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $2,290.87	Facility		$56.23	$100.00	$2,290.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $2,290.87	Professional		$100.00	$173.78	$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 $48.98 / $102.33 / $208.93	Professional		$48.98	$102.33	$208.93