Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.08 / $926.42 / $6,827.70	Facility		$101.08	$926.42	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $88.67 / $135.33	Professional		$58.59	$88.67	$135.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.66 / $133.00 / $226.33	Professional	50	$65.66	$133.00	$226.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $70.34 / $116.30	Professional		$55.01	$70.34	$116.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.52 / $105.52 / $174.46	Professional	50	$82.52	$105.52	$174.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $66.93 / $910.00	Professional		$64.81	$66.93	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $640.00	Facility		$102.18	$102.18	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $102.30 / $173.36	Professional		$64.78	$102.30	$173.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $118.69 / $139.66	Professional		$92.73	$118.69	$139.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $106.44 / $165.07	Facility		$68.34	$106.44	$165.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $134.00 / $182.00	Professional		$116.00	$134.00	$182.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $81.28 / $448.66	Facility		$59.89	$81.28	$448.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $125.54 / $458.10	Professional		$94.69	$125.54	$458.10
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 $78.42 / $125.54 / $198.17	Professional		$78.42	$125.54	$198.17