Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,949.84 / $7,079.46	Facility		$134.90	$1,949.84	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $194.98 / $194.98 / $1,288.25	Facility	50	$194.98	$194.98	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $257.04	Professional		$75.86	$134.90	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $346.74 / $524.81	Professional	50	$199.53	$346.74	$524.81
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 $77.62 / $112.20 / $190.55	Professional		$77.62	$112.20	$190.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $169.82 / $281.84	Professional	50	$114.82	$169.82	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $933.25	Professional		$75.86	$109.65	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $239.88	Professional		$83.18	$141.25	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $218.78	Professional		$147.91	$177.83	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $138.04 / $229.09	Facility		$77.62	$138.04	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $2,691.53	Facility		$77.62	$114.82	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $2,691.53	Professional		$134.90	$194.98	$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 $67.61 / $128.82 / $245.47	Professional		$67.61	$128.82	$245.47