Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $1,938.00 / $6,827.70	Facility		$97.20	$1,938.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $103.31 / $194.22	Professional		$57.46	$103.31	$194.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $177.72 / $177.72 / $177.72	Professional	50	$177.72	$177.72	$177.72
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 $50.09 / $64.06 / $106.72	Professional		$50.09	$64.06	$106.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.14 / $96.09 / $160.08	Professional	50	$75.14	$96.09	$160.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $66.14 / $2,012.00	Professional		$59.94	$66.14	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $93.73 / $420.00	Facility		$93.73	$93.73	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $120.73 / $210.54	Professional		$63.84	$120.73	$210.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $119.35 / $141.05	Professional		$92.88	$119.35	$141.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $130.26 / $234.25	Facility		$69.23	$130.26	$234.25
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $193.44 / $276.83 / $434.97	Facility	50	$193.44	$276.83	$434.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $184.00 / $240.00	Professional		$136.12	$184.00	$240.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $99.51 / $780.00	Facility		$59.21	$99.51	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $170.94 / $780.00	Professional		$105.66	$170.94	$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 $74.20 / $143.41 / $227.35	Professional		$74.20	$143.41	$227.35