Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $4,179.00 / $8,920.00	Facility		$146.74	$4,179.00	$8,920.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $840.75 / $840.75 / $840.75	Facility	50	$840.75	$840.75	$840.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $213.23 / $352.06	Professional		$125.81	$213.23	$352.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.94 / $418.39 / $651.53	Professional	50	$37.94	$418.39	$651.53
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 $132.38 / $194.49 / $291.70	Professional		$132.38	$194.49	$291.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $198.59 / $291.74 / $437.57	Professional	50	$198.59	$291.74	$437.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $225.99 / $2,315.00	Professional		$152.27	$225.99	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $218.89 / $368.74	Professional		$141.90	$218.89	$368.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $229.84 / $283.45	Professional		$191.53	$229.84	$283.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $228.50 / $362.33	Facility		$146.74	$228.50	$362.33
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $298.52 / $390.81 / $587.67	Facility	50	$298.52	$390.81	$587.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $283.00 / $416.00	Professional		$246.00	$283.00	$416.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.84 / $174.49 / $819.00	Facility		$129.84	$174.49	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $263.54 / $833.68	Professional		$183.48	$263.54	$833.68
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 $160.65 / $252.65 / $427.85	Professional		$160.65	$252.65	$427.85