Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $5,248.07	Facility		$154.88	$1,047.13	$5,248.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,000.00 / $2,238.72 / $4,786.30	Facility	50	$1,000.00	$2,238.72	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $467.74	Professional		$87.10	$181.97	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $302.00 / $954.99	Professional	50	$128.82	$302.00	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $223.87	Professional		$87.10	$128.82	$223.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $194.98 / $331.13	Professional	50	$134.90	$194.98	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $2,511.89	Professional		$89.13	$131.83	$2,511.89
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 $95.50 / $177.83 / $302.00	Professional		$95.50	$177.83	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $281.84	Professional		$186.21	$239.88	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $416.87	Professional		$208.93	$263.03	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $173.78 / $302.00	Facility		$91.20	$173.78	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $2,691.53	Facility		$87.10	$117.49	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $2,691.53	Professional		$158.49	$223.87	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,981.07	Facility		$1,071.52	$2,089.30	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $363.08	Professional		$72.44	$151.36	$363.08