Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $2,516.00 / $8,294.00	Facility		$135.05	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $360.80 / $754.81	Professional		$118.80	$360.80	$754.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.89 / $421.72 / $791.74	Professional		$105.89	$421.72	$791.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.13 / $632.58 / $1,187.61	Professional	50	$158.13	$632.58	$1,187.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $110.07 / $690.00	Professional		$110.07	$110.07	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $181.74 / $181.74	Facility		$181.74	$181.74	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $300.00 / $994.38	Professional		$125.44	$300.00	$994.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.80 / $587.76 / $720.30	Professional		$489.80	$587.76	$720.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.24 / $360.80 / $1,021.58	Facility		$130.24	$360.80	$1,021.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $301.50 / $516.80 / $1,933.56	Facility	50	$301.50	$516.80	$1,933.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $740.78 / $1,135.00	Professional		$596.00	$740.78	$1,135.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.47 / $162.91 / $271.22	Facility		$116.47	$162.91	$271.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $497.19 / $790.14 / $1,248.60	Professional		$497.19	$790.14	$1,248.60
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.43 / $766.31 / $1,209.09	Professional		$473.43	$766.31	$1,209.09