Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,290.87 / $7,079.46	Facility		$398.11	$2,290.87	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $1,047.13	Professional		$281.84	$371.54	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $741.31 / $2,290.87	Professional	50	$407.38	$741.31	$2,290.87
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $239.88 / $309.03 / $549.54	Professional	54	$239.88	$309.03	$549.54
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $63.10 / $72.44 / $72.44	Professional	55	$63.10	$72.44	$72.44
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 $288.40 / $416.87 / $602.56	Professional		$288.40	$416.87	$602.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $436.52 / $630.96 / $912.01	Professional	50	$436.52	$630.96	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,513.56 / $2,754.23	Professional		$288.40	$1,513.56	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $616.60	Professional		$269.15	$371.54	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $489.78	Professional		$269.15	$380.19	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $346.74 / $389.05	Professional		$338.84	$346.74	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $389.05 / $616.60	Facility		$281.84	$389.05	$616.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $3,311.31	Facility		$245.47	$380.19	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $3,311.31	Professional		$251.19	$416.87	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,137.96 / $3,981.07	Facility		$1,071.52	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $575.44	Professional		$218.78	$302.00	$575.44