Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.36 / $1,124.98 / $5,743.00	Facility		$178.36	$1,124.98	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,840.35 / $2,323.73 / $4,259.20	Facility	50	$1,840.35	$2,323.73	$4,259.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $191.25 / $329.15	Professional		$103.18	$191.25	$329.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.80 / $335.74 / $435.34	Professional	50	$181.80	$335.74	$435.34
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 $96.49 / $123.40 / $204.01	Professional		$96.49	$123.40	$204.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.74 / $185.10 / $306.02	Professional	50	$144.74	$185.10	$306.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $119.74 / $2,012.00	Professional		$115.96	$119.74	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.63 / $178.63 / $640.00	Facility		$178.63	$178.63	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $195.40 / $331.87	Professional		$112.43	$195.40	$331.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $235.41 / $278.20	Professional		$183.14	$235.41	$278.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $201.60 / $315.64	Facility		$118.95	$201.60	$315.64
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $350.66 / $379.97 / $795.32	Facility	50	$350.66	$379.97	$795.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $266.00 / $351.00	Professional		$233.00	$266.00	$351.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $103.62 / $141.44 / $887.34	Facility		$103.62	$141.44	$887.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.29 / $248.41 / $906.01	Professional		$190.29	$248.41	$906.01
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 $155.09 / $271.39 / $462.86	Professional		$155.09	$271.39	$462.86