Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $693.47 / $5,743.00	Facility		$112.03	$693.47	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,442.85 / $1,442.85 / $1,486.16	Facility	50	$1,442.85	$1,442.85	$1,486.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $157.47 / $342.31	Professional		$63.59	$157.47	$342.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.75 / $212.65 / $324.02	Professional	50	$144.75	$212.65	$324.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $78.20 / $130.56	Professional		$62.09	$78.20	$130.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $117.31 / $195.84	Professional	50	$91.74	$117.31	$195.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $73.62 / $910.00	Professional		$69.27	$73.62	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $640.00	Facility		$114.34	$114.34	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $185.52 / $378.74	Professional		$70.15	$185.52	$378.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.50 / $309.95 / $366.30	Professional		$239.50	$309.95	$366.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $209.12 / $351.16	Facility		$76.61	$209.12	$351.16
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $238.89 / $408.60 / $869.34	Facility	50	$238.89	$408.60	$869.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $267.00 / $452.27	Professional		$217.00	$267.00	$452.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $91.10 / $805.00	Facility		$67.31	$91.10	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $202.64 / $280.88 / $805.00	Professional		$202.64	$280.88	$805.00
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 $152.82 / $250.85 / $386.26	Professional		$152.82	$250.85	$386.26