Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $1,938.00 / $8,294.00	Facility		$39.32	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $50.59 / $86.10	Professional		$32.70	$50.59	$86.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.02 / $154.68 / $181.17	Professional	50	$107.02	$154.68	$181.17
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 $30.42 / $38.90 / $64.31	Professional		$30.42	$38.90	$64.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $45.64 / $58.36 / $96.49	Professional	50	$45.64	$58.36	$96.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $39.29 / $822.00	Professional		$37.65	$39.29	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $57.28 / $57.28	Facility		$57.28	$57.28	$57.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $54.36 / $92.56	Professional		$35.82	$54.36	$92.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $60.79 / $70.38	Professional		$47.49	$60.79	$70.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.19 / $55.82 / $83.85	Facility		$39.19	$55.82	$83.85
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $94.92 / $99.96 / $205.23	Facility	50	$94.92	$99.96	$205.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $68.31 / $89.00	Professional		$59.00	$68.31	$89.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $47.42 / $370.00	Facility		$33.99	$47.42	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $63.46 / $370.00	Professional		$48.28	$63.46	$370.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $62.09 / $92.13	Professional		$39.53	$62.09	$92.13