Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,630.27 / $8,317.64	Facility		$134.90	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $269.15	Professional		$107.15	$173.78	$269.15
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 $107.15 / $144.54 / $204.17	Professional		$107.15	$144.54	$204.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $213.80 / $302.00	Professional	50	$162.18	$213.80	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $1,047.13	Professional		$117.49	$181.97	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $338.84	Professional		$114.82	$186.21	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $588.84	Professional		$100.00	$229.09	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $446.68	Professional		$190.55	$239.88	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $204.17 / $338.84	Facility		$117.49	$204.17	$338.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $1,659.59	Facility		$95.50	$141.25	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $1,659.59	Professional		$158.49	$239.88	$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 $89.13 / $165.96 / $309.03	Professional		$89.13	$165.96	$309.03