Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.12 / $2,561.00 / $8,294.00	Facility		$142.12	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $142.12 / $241.60	Professional		$95.76	$142.12	$241.60
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 $102.03 / $130.47 / $188.85	Professional		$102.03	$130.47	$188.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $153.05 / $195.72 / $280.30	Professional	50	$153.05	$195.72	$280.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $230.86 / $3,426.00	Professional		$118.39	$230.86	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.02 / $183.02 / $183.02	Facility		$183.02	$183.02	$183.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $167.31 / $295.48	Professional		$107.85	$167.31	$295.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.84 / $196.28 / $246.86	Professional		$166.84	$196.28	$246.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.26 / $166.80 / $296.35	Facility		$96.26	$166.80	$296.35
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $133.50 / $284.24 / $718.66	Facility	50	$133.50	$284.24	$718.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $225.00 / $318.00	Professional		$204.00	$225.00	$318.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $135.15 / $3,398.99	Facility		$105.64	$135.15	$3,398.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $210.63 / $3,398.99	Professional		$144.07	$210.63	$3,398.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.50 / $173.21 / $290.00	Professional		$119.50	$173.21	$290.00