Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.03 / $3,309.00 / $8,294.00	Facility		$162.03	$3,309.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $144.76 / $277.20	Professional		$85.79	$144.76	$277.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $145.30 / $222.59	Professional		$88.17	$145.30	$222.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $132.26 / $218.87 / $333.89	Professional	50	$132.26	$218.87	$333.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $102.97 / $3,426.00	Professional		$102.97	$102.97	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.93 / $159.93 / $159.93	Facility		$159.93	$159.93	$159.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $155.02 / $263.36	Professional		$94.39	$155.02	$263.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.36 / $184.17 / $219.25	Professional		$166.36	$184.17	$219.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $146.97 / $215.51	Facility		$89.92	$146.97	$215.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $204.00 / $306.85	Professional		$184.00	$204.00	$306.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.67 / $132.66 / $3,123.00	Facility		$97.67	$132.66	$3,123.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $210.21 / $3,123.00	Professional		$158.59	$210.21	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.18 / $168.23 / $285.85	Professional		$128.18	$168.23	$285.85