Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.17 / $3,633.00 / $8,920.00	Facility		$89.17	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $100.34 / $146.59	Professional		$84.42	$100.34	$146.59
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 $92.19 / $116.01 / $163.71	Professional		$92.19	$116.01	$163.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.29 / $174.69 / $245.57	Professional	50	$138.29	$174.69	$245.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.85 / $231.76 / $1,013.00	Professional		$118.85	$231.76	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.65 / $168.65 / $168.65	Facility		$168.65	$168.65	$168.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $134.87 / $255.13	Professional		$95.37	$134.87	$255.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $126.12 / $162.00	Professional		$107.20	$126.12	$162.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.39 / $133.76 / $216.16	Facility		$89.39	$133.76	$216.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $158.00 / $216.51	Professional		$141.00	$158.00	$216.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $127.41 / $1,380.00	Facility		$94.34	$127.41	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $152.47 / $1,380.00	Professional		$109.52	$152.47	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $114.93 / $209.02	Professional		$84.04	$114.93	$209.02