Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $2,630.27 / $8,317.64	Facility		$83.18	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $186.21 / $630.96	Professional		$70.79	$186.21	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $165.96	Professional		$63.10	$95.50	$165.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $141.25 / $223.87	Professional	50	$95.50	$141.25	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $354.81 / $1,047.13	Professional		$72.44	$354.81	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $162.18 / $302.00	Professional		$70.79	$162.18	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $208.93 / $263.03	Professional		$53.70	$208.93	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $281.84	Professional		$269.15	$275.42	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $154.88 / $316.23	Facility		$67.61	$154.88	$316.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $4,073.80	Facility		$64.57	$100.00	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $4,073.80	Professional		$177.83	$245.47	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $275.42	Professional		$60.26	$138.04	$275.42