Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.79 / $896.00 / $5,743.00	Facility		$85.79	$896.00	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $422.40 / $917.25 / $4,028.23	Facility	50	$422.40	$917.25	$4,028.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $78.70 / $139.43	Professional		$46.84	$78.70	$139.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.27 / $98.99 / $243.67	Professional	50	$44.27	$98.99	$243.67
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 $39.00 / $49.13 / $81.84	Professional		$39.00	$49.13	$81.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.62 / $73.69 / $122.77	Professional	50	$57.62	$73.69	$122.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $50.40 / $1,757.00	Professional		$46.04	$50.40	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $420.00	Facility		$70.36	$70.36	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $89.55 / $142.36	Professional		$46.82	$89.55	$142.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $90.50 / $106.95	Professional		$70.58	$90.50	$106.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $85.80 / $146.00	Facility		$48.16	$85.80	$146.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $146.72 / $189.90 / $319.61	Facility	50	$146.72	$189.90	$319.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $114.00 / $160.00	Professional		$99.00	$114.00	$160.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $72.34 / $514.00	Facility		$44.39	$72.34	$514.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $118.76 / $514.00	Professional		$79.33	$118.76	$514.00
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 $62.02 / $101.05 / $154.59	Professional		$62.02	$101.05	$154.59