Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.69 / $2,561.00 / $8,294.00	Facility		$103.69	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $110.17 / $183.43	Professional		$78.62	$110.17	$183.43
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 $80.81 / $103.36 / $149.59	Professional		$80.81	$103.36	$149.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $121.24 / $155.04 / $215.28	Professional	50	$121.24	$155.04	$215.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $217.31 / $3,426.00	Professional		$111.44	$217.31	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.79 / $149.79 / $149.79	Facility		$149.79	$149.79	$149.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $139.69 / $211.03	Professional		$90.45	$139.69	$211.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $130.87 / $168.07	Professional		$111.24	$130.87	$168.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $139.59 / $213.01	Facility		$89.65	$139.59	$213.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $174.03 / $220.00	Professional		$147.00	$174.03	$220.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.74 / $134.19 / $1,380.00	Facility		$88.74	$134.19	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $162.38 / $1,380.00	Professional		$119.38	$162.38	$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 $91.43 / $124.69 / $211.22	Professional		$91.43	$124.69	$211.22