Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $3,235.94 / $8,912.51	Facility		$112.20	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $323.59	Professional		$112.20	$147.91	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $190.55 / $912.01	Professional	50	$181.97	$190.55	$912.01
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 $114.82 / $165.96 / $234.42	Professional		$114.82	$165.96	$234.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $245.47 / $354.81	Professional	50	$169.82	$245.47	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $707.95 / $1,071.52	Professional		$120.23	$707.95	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $275.42	Professional		$109.65	$151.36	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $194.98	Professional		$104.71	$154.88	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $190.55	Professional		$151.36	$158.49	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $154.88 / $239.88	Facility		$107.15	$154.88	$239.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $4,073.80	Facility		$104.71	$158.49	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $4,073.80	Professional		$117.49	$173.78	$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 $91.20 / $125.89 / $223.87	Professional		$91.20	$125.89	$223.87