Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.66 / $925.60 / $5,636.00	Facility		$103.66	$925.60	$5,636.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $764.08 / $1,876.20 / $4,317.84	Facility	50	$764.08	$1,876.20	$4,317.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.21 / $168.44 / $378.68	Professional		$56.21	$168.44	$378.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.88 / $190.68 / $376.35	Professional	50	$83.88	$190.68	$376.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $68.38 / $114.15	Professional		$54.29	$68.38	$114.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.20 / $102.57 / $171.23	Professional	50	$80.20	$102.57	$171.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $63.97 / $910.00	Professional		$60.55	$63.97	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $640.00	Facility		$100.61	$100.61	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $164.64 / $356.97	Professional		$61.54	$164.64	$356.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.03 / $291.20 / $344.16	Professional		$225.03	$291.20	$344.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $189.94 / $324.58	Facility		$67.20	$189.94	$324.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $210.02 / $367.67 / $815.06	Facility	50	$210.02	$367.67	$815.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $240.73 / $421.00	Professional		$196.00	$240.73	$421.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $79.92 / $797.30	Facility		$59.40	$79.92	$797.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $255.36 / $805.00	Professional		$182.40	$255.36	$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 $139.36 / $229.07 / $347.98	Professional		$139.36	$229.07	$347.98