Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,230.27 / $5,888.44	Facility		$128.82	$1,230.27	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $467.74	Professional		$79.43	$194.98	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $229.09 / $512.86	Professional	50	$229.09	$229.09	$512.86
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 $81.28 / $123.03 / $208.93	Professional		$81.28	$123.03	$208.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $181.97 / $309.03	Professional	50	$125.89	$181.97	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $2,511.89	Professional		$85.11	$123.03	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $363.08	Professional		$83.18	$194.98	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $363.08	Professional		$239.88	$302.00	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $549.54	Professional		$302.00	$371.54	$549.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $194.98 / $371.54	Facility		$83.18	$194.98	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $2,290.87	Facility		$74.13	$104.71	$2,290.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $2,290.87	Professional		$190.55	$288.40	$2,290.87
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 $67.61 / $154.88 / $380.19	Professional		$67.61	$154.88	$380.19