Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $3,226.00 / $8,920.00	Facility		$96.03	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $126.76 / $199.23	Professional		$86.40	$126.76	$199.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $116.45 / $173.07	Professional		$83.32	$116.45	$173.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $124.98 / $174.67 / $259.60	Professional	50	$124.98	$174.67	$259.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.51 / $146.69 / $974.00	Professional		$98.51	$146.69	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $142.40 / $233.40	Professional		$93.10	$142.40	$233.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $136.99 / $168.96	Professional		$114.16	$136.99	$168.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $142.72 / $213.72	Facility		$96.03	$142.72	$213.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $172.73 / $228.00	Professional		$146.00	$172.73	$228.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.66 / $114.20 / $1,171.00	Facility		$84.66	$114.20	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $161.44 / $1,171.00	Professional		$119.93	$161.44	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $173.84 / $262.05	Professional		$105.65	$173.84	$262.05