Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $1,630.00 / $6,827.70	Facility		$140.88	$1,630.00	$6,827.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,756.50 / $1,756.50 / $3,457.95	Facility	50	$1,756.50	$1,756.50	$3,457.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $127.10 / $230.10	Professional		$72.68	$127.10	$230.10
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 $84.24 / $156.63 / $238.69	Professional		$84.24	$156.63	$238.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $107.74 / $2,413.00	Professional		$83.80	$107.74	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $148.85 / $280.68	Professional		$85.27	$148.85	$280.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $196.39 / $242.22	Professional		$163.66	$196.39	$242.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $148.56 / $247.94	Facility		$86.38	$148.56	$247.94
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $213.97 / $287.08 / $466.38	Facility	50	$213.97	$287.08	$466.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $179.00 / $309.00	Professional		$156.00	$179.00	$309.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $100.22 / $1,683.00	Facility		$76.56	$100.22	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $171.91 / $1,683.00	Professional		$133.40	$171.91	$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 $103.99 / $181.60 / $276.20	Professional		$103.99	$181.60	$276.20