Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $206.41 / $4,771.00	Facility		$70.98	$206.41	$4,771.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $358.75 / $444.61 / $1,864.20	Facility	50	$358.75	$444.61	$1,864.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $89.38 / $152.66	Professional		$50.71	$89.38	$152.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.61 / $218.61 / $218.61	Professional	50	$218.61	$218.61	$218.61
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 $43.64 / $55.81 / $76.54	Professional		$43.64	$55.81	$76.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.45 / $83.71 / $114.81	Professional	50	$65.45	$83.71	$114.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $78.95 / $974.00	Professional		$54.83	$78.95	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $91.22 / $180.57	Professional		$55.36	$91.22	$180.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $91.91 / $168.84	Professional		$76.59	$91.91	$168.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $90.80 / $166.16	Facility		$52.89	$90.80	$166.16
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $126.16 / $212.01 / $278.64	Facility	50	$126.16	$212.01	$278.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $149.00 / $214.00	Professional		$102.00	$149.00	$214.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.09 / $70.76 / $805.00	Facility		$50.09	$70.76	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $143.99 / $805.00	Professional		$78.48	$143.99	$805.00
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 $72.92 / $129.30 / $182.15	Professional		$72.92	$129.30	$182.15