Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.93 / $2,840.00 / $8,294.00	Facility		$122.93	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $158.72 / $234.52	Professional		$108.52	$158.72	$234.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $578.54 / $771.40 / $964.25	Professional	50	$578.54	$771.40	$964.25
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 $99.57 / $127.33 / $210.51	Professional		$99.57	$127.33	$210.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $149.35 / $190.99 / $315.77	Professional	50	$149.35	$190.99	$315.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $132.16 / $822.00	Professional		$119.81	$132.16	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $184.66 / $640.00	Facility		$184.66	$184.66	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $186.58 / $304.39	Professional		$115.01	$186.58	$304.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $195.94 / $231.53	Professional		$153.08	$195.94	$231.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.93 / $180.78 / $288.30	Facility		$122.93	$180.78	$288.30
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $320.62 / $384.84 / $680.01	Facility	50	$320.62	$384.84	$680.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $228.00 / $383.50	Professional		$221.00	$228.00	$383.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $108.64 / $149.44 / $780.00	Facility		$108.64	$149.44	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $242.39 / $780.00	Professional		$166.10	$242.39	$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 $132.28 / $213.30 / $341.26	Professional		$132.28	$213.30	$341.26