Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.47 / $3,226.00 / $8,294.00	Facility		$135.47	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $157.53 / $233.45	Professional		$97.87	$157.53	$233.45
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 $102.95 / $131.66 / $180.57	Professional		$102.95	$131.66	$180.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.43 / $197.49 / $270.85	Professional	50	$154.43	$197.49	$270.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $173.49 / $974.00	Professional		$121.03	$173.49	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $193.87 / $338.88	Professional		$116.36	$193.87	$338.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.16 / $211.39 / $260.79	Professional		$176.16	$211.39	$260.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.28 / $202.23 / $329.37	Facility		$125.28	$202.23	$329.37
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $253.59 / $318.20 / $535.16	Facility	50	$253.59	$318.20	$535.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $252.00 / $371.00	Professional		$213.00	$252.00	$371.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $140.54 / $819.00	Facility		$106.46	$140.54	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $236.72 / $819.00	Professional		$167.30	$236.72	$819.00
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 $147.07 / $219.92 / $370.87	Professional		$147.07	$219.92	$370.87