Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.69 / $1,938.00 / $6,827.70	Facility		$137.69	$1,938.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $122.70 / $192.00	Professional		$67.94	$122.70	$192.00
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 $69.14 / $90.39 / $149.44	Professional		$69.14	$90.39	$149.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.79 / $135.58 / $224.16	Professional	50	$104.79	$135.58	$224.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $85.47 / $2,012.00	Professional		$78.75	$85.47	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $420.00	Facility		$128.72	$128.72	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $140.76 / $241.77	Professional		$76.12	$140.76	$241.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $177.27 / $209.50	Professional		$137.32	$177.27	$209.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $148.12 / $246.78	Facility		$83.62	$148.12	$246.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $195.56 / $256.22	Professional		$156.00	$195.56	$256.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $97.23 / $646.83	Facility		$73.55	$97.23	$646.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $192.21 / $660.44	Professional		$137.33	$192.21	$660.44
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 $112.28 / $176.71 / $290.01	Professional		$112.28	$176.71	$290.01