Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.37 / $1,938.00 / $7,401.96	Facility		$136.37	$1,938.00	$7,401.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $128.43 / $245.84	Professional		$68.18	$128.43	$245.84
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 $65.76 / $84.10 / $139.04	Professional		$65.76	$84.10	$139.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.64 / $126.15 / $208.56	Professional	50	$98.64	$126.15	$208.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $67.16 / $1,757.00	Professional		$58.44	$67.16	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $123.26 / $420.00	Facility		$123.26	$123.26	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $139.46 / $243.36	Professional		$72.63	$139.46	$243.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.58 / $191.68 / $226.53	Professional		$148.58	$191.68	$226.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $145.13 / $254.13	Facility		$77.30	$145.13	$254.13
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $248.66 / $346.68 / $548.03	Facility	50	$248.66	$346.68	$548.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $196.87 / $282.14	Professional		$167.00	$196.87	$282.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.03 / $95.00 / $780.00	Facility		$64.03	$95.00	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $187.76 / $780.00	Professional		$133.72	$187.76	$780.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $166.92 / $256.33	Professional		$102.18	$166.92	$256.33