Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $181.97 / $3,235.94	Facility		$66.07	$181.97	$3,235.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $354.81 / $398.11 / $1,862.09	Facility	50	$354.81	$398.11	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $169.82	Professional		$45.71	$85.11	$169.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $251.19 / $251.19	Professional	50	$128.82	$251.19	$251.19
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 $45.71 / $61.66 / $87.10	Professional		$45.71	$61.66	$87.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $93.33 / $131.83	Professional	50	$69.18	$93.33	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $1,047.13	Professional		$54.95	$79.43	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $165.96	Professional		$53.70	$91.20	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $100.00 / $257.04	Professional		$40.74	$100.00	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $194.98	Professional		$147.91	$186.21	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $186.21	Facility		$51.29	$91.20	$186.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $70.79 / $1,659.59	Facility		$45.71	$70.79	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $1,659.59	Professional		$77.62	$144.54	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $173.78	Professional		$43.65	$83.18	$173.78