Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $1,918.83 / $5,743.00	Facility		$98.49	$1,918.83	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $759.91 / $1,638.72 / $2,036.16	Facility	50	$759.91	$1,638.72	$2,036.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $114.35 / $222.29	Professional		$85.83	$114.35	$222.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.09 / $269.67 / $918.14	Professional	50	$164.09	$269.67	$918.14
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 $83.28 / $106.50 / $172.63	Professional		$83.28	$106.50	$172.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $124.92 / $159.75 / $258.61	Professional	50	$124.92	$159.75	$258.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $225.03 / $1,013.00	Professional		$100.97	$225.03	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.82 / $153.82 / $153.82	Facility		$153.82	$153.82	$153.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $134.05 / $264.22	Professional		$89.34	$134.05	$264.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.03 / $123.56 / $158.66	Professional		$105.03	$123.56	$158.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $140.65 / $342.37	Facility		$87.65	$140.65	$342.37
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $195.05 / $374.27 / $466.50	Facility	50	$195.05	$374.27	$466.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $155.00 / $293.00	Professional		$126.00	$155.00	$293.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.26 / $150.15 / $1,380.00	Facility		$99.26	$150.15	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $175.70 / $1,380.00	Professional		$108.52	$175.70	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $146.44 / $267.57	Professional		$77.95	$146.44	$267.57