Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $916.28 / $5,743.00	Facility		$100.35	$916.28	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $413.20 / $1,106.58 / $2,789.11	Facility	50	$413.20	$1,106.58	$2,789.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $93.12 / $158.00	Professional		$57.53	$93.12	$158.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.83 / $131.46 / $202.28	Professional	50	$81.83	$131.46	$202.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.09 / $69.17 / $114.35	Professional		$54.09	$69.17	$114.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.13 / $103.75 / $171.53	Professional	50	$81.13	$103.75	$171.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $66.14 / $910.00	Professional		$64.05	$66.14	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $101.68 / $640.00	Facility		$101.68	$101.68	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $101.42 / $170.17	Professional		$64.08	$101.42	$170.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $119.00 / $140.15	Professional		$92.97	$119.00	$140.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $105.70 / $163.93	Facility		$67.56	$105.70	$163.93
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $177.30 / $212.03 / $401.29	Facility	50	$177.30	$212.03	$401.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $133.41 / $181.00	Professional		$115.00	$133.41	$181.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $80.34 / $445.41	Facility		$58.87	$80.34	$445.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $124.45 / $454.78	Professional		$94.01	$124.45	$454.78
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 $77.84 / $131.91 / $209.98	Professional		$77.84	$131.91	$209.98