Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.33 / $2,012.00 / $8,294.00	Facility		$110.33	$2,012.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $920.01 / $1,901.82	Professional		$95.18	$920.01	$1,901.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $754.55 / $1,451.75	Professional		$86.52	$754.55	$1,451.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $129.78 / $1,108.02 / $2,080.19	Professional	50	$129.78	$1,108.02	$2,080.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $99.64 / $194.30	Professional		$99.64	$99.64	$194.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $485.00	Facility		$150.18	$150.18	$485.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $250.31 / $2,164.04	Professional		$97.22	$250.31	$2,164.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.86 / $1,068.34 / $1,271.84	Professional		$864.86	$1,068.34	$1,271.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $1,169.91 / $2,277.56	Facility		$104.10	$1,169.91	$2,277.56
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $40.84 / $371.87 / $600.91	Facility	80	$40.84	$371.87	$600.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,141.00 / $1,725.00 / $2,886.60	Professional		$1,141.00	$1,725.00	$2,886.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.16 / $128.11 / $217.21	Facility		$97.16	$128.11	$217.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,156.85 / $1,749.62 / $2,548.56	Professional		$1,156.85	$1,749.62	$2,548.56
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,350.00	Facility		$231.00	$1,045.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.52 / $1,740.65 / $2,673.50	Professional		$1,011.52	$1,740.65	$2,673.50