Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,023.29 / $5,248.07	Facility		$177.83	$1,023.29	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,862.09 / $2,344.23 / $4,265.80	Facility	50	$1,862.09	$2,344.23	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $478.63	Professional		$102.33	$194.98	$478.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $354.81 / $1,096.48	Professional	50	$147.91	$354.81	$1,096.48
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 $100.00 / $151.36 / $257.04	Professional		$100.00	$151.36	$257.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $229.09 / $389.05	Professional	50	$154.88	$229.09	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $2,511.89	Professional		$104.71	$151.36	$2,511.89
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 $109.65 / $194.98 / $338.84	Professional		$109.65	$194.98	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $302.00	Professional		$199.53	$257.04	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $457.09	Professional		$234.42	$295.12	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $194.98 / $323.59	Facility		$104.71	$194.98	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $141.25 / $2,691.53	Facility		$100.00	$141.25	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $2,691.53	Professional		$173.78	$251.19	$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 $87.10 / $173.78 / $398.11	Professional		$87.10	$173.78	$398.11