Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.84 / $2,840.00 / $8,294.00	Facility		$84.84	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $150.88 / $384.98	Professional		$61.49	$150.88	$384.98
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 $61.77 / $78.98 / $131.59	Professional		$61.77	$78.98	$131.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.65 / $118.48 / $195.89	Professional	50	$92.65	$118.48	$195.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.68 / $198.28 / $1,013.00	Professional		$101.68	$198.28	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.37 / $115.37 / $115.37	Facility		$115.37	$115.37	$115.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $172.58 / $305.73	Professional		$71.41	$172.58	$305.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.85 / $203.35 / $254.55	Professional		$172.85	$203.35	$254.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $150.88 / $312.30	Facility		$65.18	$150.88	$312.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $249.00 / $332.00	Professional		$212.00	$249.00	$332.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $100.43 / $1,380.00	Facility		$66.50	$100.43	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.01 / $240.40 / $1,380.00	Professional		$177.01	$240.40	$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 $137.63 / $190.17 / $319.31	Professional		$137.63	$190.17	$319.31