Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $3,801.89 / $9,549.93	Facility		$93.33	$3,801.89	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $263.03	Professional		$57.54	$112.20	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $199.53 / $1,071.52	Professional	50	$60.26	$199.53	$1,071.52
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 $60.26 / $91.20 / $154.88	Professional		$60.26	$91.20	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $134.90 / $229.09	Professional	50	$93.33	$134.90	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $2,511.89	Professional		$61.66	$85.11	$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 / $107.15 / $194.98	Professional		$63.10	$107.15	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $199.53	Professional		$131.83	$165.96	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $208.93	Professional		$104.71	$131.83	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $112.20 / $194.98	Facility		$63.10	$112.20	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $87.10 / $2,691.53	Facility		$58.88	$87.10	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $2,691.53	Professional		$81.28	$134.90	$2,691.53
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 $45.71 / $85.11 / $169.82	Professional		$45.71	$85.11	$169.82