Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.61 / $2,516.00 / $8,294.00	Facility		$91.61	$2,516.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $194.25 / $194.25 / $1,288.00	Facility	50	$194.25	$194.25	$1,288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $125.94 / $176.78	Professional		$76.33	$125.94	$176.78
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 $72.06 / $90.78 / $150.08	Professional		$72.06	$90.78	$150.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $106.48 / $136.16 / $225.12	Professional	50	$106.48	$136.16	$225.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $95.90 / $794.00	Professional		$83.46	$95.90	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $640.00	Facility		$133.72	$133.72	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $142.94 / $240.36	Professional		$84.86	$142.94	$240.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $159.84 / $186.76	Professional		$126.19	$159.84	$186.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $148.27 / $236.04	Facility		$91.10	$148.27	$236.04
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $264.63 / $302.36 / $555.42	Facility	50	$264.63	$302.36	$555.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.18 / $198.00 / $306.85	Professional		$181.18	$198.00	$306.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $114.13 / $780.00	Facility		$79.56	$114.13	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $193.28 / $780.00	Professional		$136.94	$193.28	$780.00
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 $107.42 / $175.32 / $269.39	Professional		$107.42	$175.32	$269.39