Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.67 / $1,247.46 / $5,412.00	Facility		$90.67	$1,247.46	$5,412.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,039.77 / $1,082.25 / $1,082.25	Facility	50	$1,039.77	$1,082.25	$1,082.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.19 / $21.87 / $34.11	Facility	53	$10.19	$21.87	$34.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $96.92 / $180.68	Professional		$49.15	$96.92	$180.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $594.79 / $594.79 / $594.79	Professional	50	$594.79	$594.79	$594.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $60.13 / $100.17	Professional		$47.02	$60.13	$100.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.53 / $90.19 / $150.26	Professional	50	$70.53	$90.19	$150.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $56.70 / $910.00	Professional		$54.91	$56.70	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $86.31 / $420.00	Facility		$86.31	$86.31	$420.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.26 / $17.26 / $17.26	Facility	53	$17.26	$17.26	$17.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $102.89 / $212.01	Professional		$54.42	$102.89	$212.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $134.24 / $158.65	Professional		$104.39	$134.24	$158.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $107.67 / $200.13	Facility		$55.89	$107.67	$200.13
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $180.99 / $252.51 / $492.43	Facility	50	$180.99	$252.51	$492.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $154.33 / $214.00	Professional		$108.00	$154.33	$214.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.59 / $77.34 / $484.73	Facility		$52.59	$77.34	$484.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $160.60 / $494.93	Professional		$104.39	$160.60	$494.93
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 $85.46 / $148.04 / $241.81	Professional		$85.46	$148.04	$241.81