Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.61 / $5,743.00 / $9,702.23	Facility		$255.61	$5,743.00	$9,702.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $163.66 / $284.41	Professional		$74.58	$163.66	$284.41
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 $73.26 / $147.24 / $239.29	Professional		$73.26	$147.24	$239.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.89 / $220.86 / $358.94	Professional	50	$109.89	$220.86	$358.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $135.96 / $3,026.00	Professional		$94.42	$135.96	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $179.92 / $319.02	Professional		$84.41	$179.92	$319.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.68 / $199.61 / $244.08	Professional		$136.68	$199.61	$244.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.53 / $165.72 / $285.24	Facility		$85.53	$165.72	$285.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $241.00 / $327.00	Professional		$174.38	$241.00	$327.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.13 / $106.65 / $1,683.00	Facility		$80.13	$106.65	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $229.80 / $1,683.00	Professional		$177.75	$229.80	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $249.58 / $388.73	Professional		$141.78	$249.58	$388.73