Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $3,633.00 / $8,920.00	Facility		$28.18	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $29.99 / $89.94	Professional		$19.54	$29.99	$89.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.45 / $247.41 / $321.00	Professional	50	$63.45	$247.41	$321.00
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 $19.84 / $25.94 / $42.12	Professional		$19.84	$25.94	$42.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $29.76 / $38.90 / $63.18	Professional	50	$29.76	$38.90	$63.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $59.44 / $1,013.00	Professional		$24.73	$59.44	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $21.22 / $21.22	Facility		$21.22	$21.22	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $45.11 / $71.30	Professional		$19.30	$45.11	$71.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.18 / $26.43	Professional		$17.14	$20.18	$26.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $38.81 / $78.30	Facility		$21.05	$38.81	$78.30
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $41.47 / $81.00 / $110.94	Facility	50	$41.47	$81.00	$110.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $63.00 / $81.00	Professional		$33.46	$63.00	$81.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $59.02 / $1,380.00	Facility		$26.14	$59.02	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $58.51 / $1,380.00	Professional		$23.82	$58.51	$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 $18.80 / $34.31 / $71.48	Professional		$18.80	$34.31	$71.48