Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $2,004.00 / $8,294.00	Facility		$90.06	$2,004.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $690.94 / $690.94 / $690.94	Facility	50	$690.94	$690.94	$690.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $176.86 / $259.56	Professional		$74.51	$176.86	$259.56
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 $74.68 / $95.50 / $159.41	Professional		$74.68	$95.50	$159.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.02 / $143.25 / $239.14	Professional	50	$112.02	$143.25	$239.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $89.26 / $1,757.00	Professional		$86.13	$89.26	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $139.86 / $640.00	Facility		$139.86	$139.86	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $192.94 / $373.02	Professional		$83.42	$192.94	$373.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $277.58 / $316.22	Professional		$214.50	$277.58	$316.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.93 / $206.35 / $374.12	Facility		$85.93	$206.35	$374.12
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $293.20 / $428.30 / $874.95	Facility	50	$293.20	$428.30	$874.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.66 / $342.81 / $425.00	Professional		$190.66	$342.81	$425.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $109.06 / $980.59	Facility		$80.59	$109.06	$980.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $214.21 / $287.06 / $1,001.22	Professional		$214.21	$287.06	$1,001.22
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 $171.40 / $276.38 / $432.45	Professional		$171.40	$276.38	$432.45