Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.01 / $912.00 / $5,636.00	Facility		$90.01	$912.00	$5,636.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $186.12 / $1,246.49 / $3,288.43	Facility	50	$186.12	$1,246.49	$3,288.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $86.23 / $157.08	Professional		$48.93	$86.23	$157.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.23 / $146.37 / $195.88	Professional	50	$74.23	$146.37	$195.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $59.34 / $98.10	Professional		$46.40	$59.34	$98.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.59 / $89.01 / $147.16	Professional	50	$69.59	$89.01	$147.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $55.90 / $910.00	Professional		$55.20	$55.90	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $86.87 / $640.00	Facility		$86.87	$86.87	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $91.80 / $156.84	Professional		$55.21	$91.80	$156.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $110.62 / $130.56	Professional		$86.42	$110.62	$130.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.52 / $95.60 / $150.62	Facility		$58.52	$95.60	$150.62
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $161.38 / $181.49 / $372.72	Facility	50	$161.38	$181.49	$372.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $122.00 / $164.00	Professional		$106.00	$122.00	$164.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $68.73 / $414.33	Facility		$50.45	$68.73	$414.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $114.11 / $423.04	Professional		$87.74	$114.11	$423.04
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 $72.45 / $124.44 / $194.31	Professional		$72.45	$124.44	$194.31