Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $977.24 / $4,265.80	Facility		$190.55	$977.24	$4,265.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $1,819.70 / $4,786.30	Facility	50	$891.25	$1,819.70	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $239.88 / $707.95	Professional		$107.15	$239.88	$707.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $407.38 / $1,258.93	Professional	50	$162.18	$407.38	$1,258.93
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	53	$138.04	$138.04	$138.04
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 $104.71 / $158.49 / $269.15	Professional		$104.71	$158.49	$269.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $239.88 / $407.38	Professional	50	$162.18	$239.88	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $2,511.89	Professional		$109.65	$162.18	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $234.42 / $426.58	Professional		$109.65	$234.42	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $398.11	Professional		$257.04	$331.13	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $588.84	Professional		$446.68	$588.84	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $234.42 / $467.74	Facility		$109.65	$234.42	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $144.54 / $2,691.53	Facility		$104.71	$144.54	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $2,691.53	Professional		$234.42	$346.74	$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 $93.33 / $204.17 / $457.09	Professional		$93.33	$204.17	$457.09