Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $1,938.00 / $8,294.00	Facility		$132.36	$1,938.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $992.00 / $992.00 / $992.00	Facility	50	$992.00	$992.00	$992.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $149.56 / $256.63	Professional		$123.04	$149.56	$256.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $227.21 / $279.72 / $430.52	Professional	50	$227.21	$279.72	$430.52
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 $110.63 / $141.47 / $233.90	Professional		$110.63	$141.47	$233.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.95 / $212.22 / $350.86	Professional	50	$165.95	$212.22	$350.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $180.67 / $822.00	Professional		$136.27	$180.67	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $198.85 / $420.00	Facility		$198.85	$198.85	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $176.20 / $290.51	Professional		$124.37	$176.20	$290.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $168.99 / $199.72	Professional		$130.76	$168.99	$199.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.41 / $178.04 / $266.00	Facility		$130.41	$178.04	$266.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $273.25 / $381.99 / $558.09	Facility	50	$273.25	$381.99	$558.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $203.44 / $279.55	Professional		$162.00	$203.44	$279.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $118.76 / $170.12 / $623.48	Facility		$118.76	$170.12	$623.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $202.08 / $636.60	Professional		$136.19	$202.08	$636.60
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 $108.98 / $175.72 / $269.54	Professional		$108.98	$175.72	$269.54