Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,047.13 / $5,888.44	Facility		$89.13	$1,047.13	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $1,659.59 / $5,495.41	Facility	50	$1,659.59	$1,659.59	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $257.04	Professional		$50.12	$89.13	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $181.97 / $398.11	Professional	50	$112.20	$181.97	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $125.89	Professional		$50.12	$74.13	$125.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $112.20 / $190.55	Professional	50	$75.86	$112.20	$190.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $954.99	Professional		$51.29	$74.13	$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 $56.23 / $93.33 / $158.49	Professional		$56.23	$93.33	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $144.54	Professional		$97.72	$123.03	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $213.80	Professional		$109.65	$138.04	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $154.88	Facility		$51.29	$93.33	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $69.18 / $1,288.25	Facility		$48.98	$69.18	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $1,288.25	Professional		$81.28	$114.82	$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 $43.65 / $81.28 / $165.96	Professional		$43.65	$81.28	$165.96