Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.38 / $3,633.00 / $9,962.57	Facility		$166.38	$3,633.00	$9,962.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $332.97 / $480.82	Professional		$139.37	$332.97	$480.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.99 / $171.35 / $286.05	Professional		$133.99	$171.35	$286.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $200.99 / $257.02 / $429.07	Professional	50	$200.99	$257.02	$429.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $168.69 / $2,635.00	Professional		$153.50	$168.69	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.99 / $248.99 / $640.00	Facility		$248.99	$248.99	$640.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $199.19 / $199.19 / $199.19	Facility	52	$199.19	$199.19	$199.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $342.02 / $681.19	Professional		$151.33	$342.02	$681.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.15 / $473.85 / $539.47	Professional		$366.15	$473.85	$539.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.77 / $364.51 / $693.07	Facility		$154.77	$364.51	$693.07
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $524.78 / $825.60 / $1,686.57	Facility	50	$524.78	$825.60	$1,686.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $342.14 / $585.11 / $749.00	Professional		$342.14	$585.11	$749.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.34 / $200.37 / $1,291.00	Facility		$147.34	$200.37	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $406.62 / $542.04 / $1,770.00	Professional		$406.62	$542.04	$1,770.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.08 / $533.87 / $798.71	Professional		$323.08	$533.87	$798.71