Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $2,840.00 / $8,294.00	Facility		$148.38	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $220.58 / $464.68	Professional		$100.31	$220.58	$464.68
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 $106.64 / $136.37 / $224.05	Professional		$106.64	$136.37	$224.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $159.96 / $204.55 / $336.07	Professional	50	$159.96	$204.55	$336.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $263.41 / $1,013.00	Professional		$131.31	$263.41	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.67 / $192.67 / $192.67	Facility		$192.67	$192.67	$192.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $244.66 / $471.72	Professional		$113.41	$244.66	$471.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.11 / $311.89 / $389.86	Professional		$265.11	$311.89	$389.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.31 / $232.05 / $482.31	Facility		$100.31	$232.05	$482.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $357.00 / $513.00	Professional		$323.00	$357.00	$513.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $142.63 / $1,380.00	Facility		$97.94	$142.63	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $343.54 / $1,380.00	Professional		$256.95	$343.54	$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 $146.96 / $269.19 / $443.16	Professional		$146.96	$269.19	$443.16