Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $3,235.94 / $8,912.51	Facility		$47.86	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $114.82 / $234.42	Professional		$45.71	$114.82	$234.42
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 $50.12 / $102.33 / $194.98	Professional		$50.12	$102.33	$194.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $154.88 / $295.12	Professional	50	$77.62	$154.88	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $707.95 / $1,047.13	Professional		$51.29	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $83.18	Facility		$34.67	$34.67	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $186.21	Professional		$48.98	$102.33	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $169.82	Professional		$107.15	$141.25	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $131.83	Professional		$112.20	$112.20	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $95.50 / $165.96	Facility		$45.71	$95.50	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $69.18 / $4,073.80	Facility		$45.71	$69.18	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $4,073.80	Professional		$87.10	$151.36	$4,073.80
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 $44.67 / $87.10 / $186.21	Professional		$44.67	$87.10	$186.21