Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $512.86 / $5,248.07	Facility		$83.18	$512.86	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $295.12 / $912.01 / $3,548.13	Facility	50	$295.12	$912.01	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $316.23	Professional		$57.54	$102.33	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $173.78 / $426.58	Professional	50	$83.18	$173.78	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $144.54	Professional		$56.23	$83.18	$144.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $125.89 / $218.78	Professional	50	$87.10	$125.89	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $954.99	Professional		$57.54	$85.11	$954.99
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 $61.66 / $100.00 / $173.78	Professional		$61.66	$100.00	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $147.91	Professional		$100.00	$125.89	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $229.09	Professional		$120.23	$151.36	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $169.82	Facility		$58.88	$100.00	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $79.43 / $1,288.25	Facility		$56.23	$79.43	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $1,288.25	Professional		$87.10	$125.89	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,202.26 / $2,454.71	Facility		$218.78	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $186.21	Professional		$51.29	$93.33	$186.21