Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.55 / $1,719.00 / $6,827.70	Facility		$165.55	$1,719.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $174.87 / $310.88	Professional		$72.40	$174.87	$310.88
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 $76.36 / $99.82 / $166.63	Professional		$76.36	$99.82	$166.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $116.95 / $149.72 / $249.95	Professional	50	$116.95	$149.72	$249.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $94.37 / $2,012.00	Professional		$86.55	$94.37	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $420.00	Facility		$143.26	$143.26	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $197.60 / $360.10	Professional		$83.53	$197.60	$360.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $280.12 / $331.05	Professional		$216.45	$280.12	$331.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $212.49 / $367.74	Facility		$89.89	$212.49	$367.74
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $301.11 / $417.00 / $888.03	Facility	50	$301.11	$417.00	$888.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $270.00 / $402.97	Professional		$229.00	$270.00	$402.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $106.66 / $780.00	Facility		$81.58	$106.66	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $286.18 / $996.98	Professional		$198.46	$286.18	$996.98
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 $155.21 / $268.74 / $431.64	Professional		$155.21	$268.74	$431.64