Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.57 / $2,012.00 / $8,294.00	Facility		$107.57	$2,012.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,966.60 / $1,966.60 / $1,966.60	Facility	50	$1,966.60	$1,966.60	$1,966.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $119.73 / $182.33	Professional		$88.15	$119.73	$182.33
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 $95.30 / $124.58 / $205.96	Professional		$95.30	$124.58	$205.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.41 / $186.87 / $308.95	Professional	50	$144.41	$186.87	$308.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $112.81 / $822.00	Professional		$96.97	$112.81	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.35 / $178.35 / $420.00	Facility		$178.35	$178.35	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $138.21 / $262.72	Professional		$96.19	$138.21	$262.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $179.32 / $211.93	Professional		$138.57	$179.32	$211.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $136.35 / $214.53	Facility		$100.35	$136.35	$214.53
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $184.85 / $287.67 / $528.49	Facility	50	$184.85	$287.67	$528.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $149.26 / $249.76	Professional		$131.00	$149.26	$249.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.53 / $121.01 / $590.57	Facility		$89.53	$121.01	$590.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $156.75 / $602.99	Professional		$110.75	$156.75	$602.99
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 $86.54 / $141.91 / $244.78	Professional		$86.54	$141.91	$244.78