Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.04 / $1,226.00 / $5,743.00	Facility		$155.04	$1,226.00	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,356.72 / $2,062.71 / $4,774.97	Facility	50	$1,356.72	$2,062.71	$4,774.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $170.17 / $300.08	Professional		$87.29	$170.17	$300.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.22 / $284.93 / $400.15	Professional	50	$130.22	$284.93	$400.15
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 $82.00 / $106.11 / $175.43	Professional		$82.00	$106.11	$175.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $124.46 / $159.16 / $263.14	Professional	50	$124.46	$159.16	$263.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $100.75 / $2,012.00	Professional		$97.57	$100.75	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $153.97 / $640.00	Facility		$153.97	$153.97	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $175.53 / $303.44	Professional		$96.22	$175.53	$303.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.03 / $218.20 / $257.87	Professional		$169.03	$218.20	$257.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.29 / $185.36 / $285.72	Facility		$101.29	$185.36	$285.72
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $313.74 / $349.94 / $722.87	Facility	50	$313.74	$349.94	$722.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $243.00 / $319.00	Professional		$211.00	$243.00	$319.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.15 / $119.85 / $807.37	Facility		$89.15	$119.85	$807.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $223.88 / $824.35	Professional		$172.35	$223.88	$824.35
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 $141.12 / $242.10 / $414.40	Professional		$141.12	$242.10	$414.40