Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $3,226.00 / $8,294.00	Facility		$88.45	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $101.96 / $183.96	Professional		$81.00	$101.96	$183.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $133.28 / $133.28 / $133.28	Professional	50	$133.28	$133.28	$133.28
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 $91.12 / $115.84 / $163.71	Professional		$91.12	$115.84	$163.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $135.29 / $173.77 / $245.57	Professional	50	$135.29	$173.77	$245.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $225.58 / $1,013.00	Professional		$114.52	$225.58	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $163.47 / $163.47	Facility		$163.47	$163.47	$163.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $125.98 / $231.32	Professional		$89.73	$125.98	$231.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $115.92 / $147.05	Professional		$98.53	$115.92	$147.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $127.22 / $195.51	Facility		$88.45	$127.22	$195.51
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $106.50 / $210.24 / $428.74	Facility	50	$106.50	$210.24	$428.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $144.00 / $197.39	Professional		$126.00	$144.00	$197.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.96 / $121.83 / $1,380.00	Facility		$81.96	$121.83	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $139.58 / $1,380.00	Professional		$104.13	$139.58	$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 $77.02 / $110.06 / $194.58	Professional		$77.02	$110.06	$194.58