Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.63 / $3,633.00 / $8,294.00	Facility		$174.63	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.84 / $217.91 / $358.66	Professional		$118.84	$217.91	$358.66
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 $125.69 / $160.74 / $244.35	Professional		$125.69	$160.74	$244.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $188.54 / $241.11 / $364.77	Professional	50	$188.54	$241.11	$364.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $286.22 / $2,764.00	Professional		$146.59	$286.22	$2,764.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.66 / $227.66 / $227.66	Facility		$227.66	$227.66	$227.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $252.32 / $450.03	Professional		$133.44	$252.32	$450.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.31 / $296.83 / $372.01	Professional		$252.31	$296.83	$372.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $244.48 / $455.88	Facility		$127.91	$244.48	$455.88
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $291.04 / $458.66 / $1,112.65	Facility	50	$291.04	$458.66	$1,112.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $363.00 / $493.00	Professional		$323.00	$363.00	$493.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $131.65 / $174.26 / $3,398.99	Facility		$131.65	$174.26	$3,398.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $263.89 / $354.56 / $3,398.99	Professional		$263.89	$354.56	$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 $195.59 / $269.89 / $474.46	Professional		$195.59	$269.89	$474.46