Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.54 / $1,866.23 / $8,294.00	Facility		$123.54	$1,866.23	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $660.42 / $1,517.18 / $1,912.76	Facility	50	$660.42	$1,517.18	$1,912.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $142.82 / $241.40	Professional		$103.27	$142.82	$241.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $273.36 / $304.00 / $363.15	Professional	50	$273.36	$304.00	$363.15
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 $101.72 / $130.08 / $215.06	Professional		$101.72	$130.08	$215.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $152.58 / $195.12 / $322.58	Professional	50	$152.58	$195.12	$322.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.64 / $119.62 / $822.00	Professional		$113.64	$119.62	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $186.13 / $640.00	Facility		$186.13	$186.13	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $151.77 / $273.38	Professional		$113.62	$151.77	$273.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $169.92 / $200.81	Professional		$131.30	$169.92	$200.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.47 / $159.50 / $239.21	Facility		$122.47	$159.50	$239.21
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $245.01 / $332.00 / $553.75	Facility	50	$245.01	$332.00	$553.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $182.24 / $258.39	Professional		$157.00	$182.24	$258.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $142.25 / $620.64	Facility		$105.76	$142.25	$620.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $168.09 / $633.70	Professional		$131.71	$168.09	$633.70
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 $105.41 / $166.07 / $287.73	Professional		$105.41	$166.07	$287.73