Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $2,840.00 / $8,294.00	Facility		$95.82	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $95.82 / $164.08	Professional		$45.54	$95.82	$164.08
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 $41.81 / $52.66 / $87.91	Professional		$41.81	$52.66	$87.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $61.77 / $78.98 / $131.86	Professional	50	$61.77	$78.98	$131.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $55.67 / $940.00	Professional		$50.61	$55.67	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $420.00	Facility		$76.73	$76.73	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $109.28 / $171.85	Professional		$53.22	$109.28	$171.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $99.36 / $117.43	Professional		$76.89	$99.36	$117.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $122.53 / $186.33	Facility		$65.36	$122.53	$186.33
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $159.86 / $223.17 / $359.89	Facility	50	$159.86	$223.17	$359.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.39 / $149.00 / $191.00	Professional		$113.39	$149.00	$191.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $90.97 / $370.00	Facility		$51.11	$90.97	$370.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $131.50 / $430.16	Professional		$83.78	$131.50	$430.16
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $111.51 / $180.35	Professional		$56.88	$111.51	$180.35