Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.58 / $2,998.00 / $8,294.00	Facility		$199.58	$2,998.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $246.81 / $577.04	Professional		$136.13	$246.81	$577.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,936.50 / $1,936.50 / $1,936.50	Professional	50	$1,936.50	$1,936.50	$1,936.50
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 $143.52 / $183.53 / $284.74	Professional		$143.52	$183.53	$284.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $215.28 / $275.29 / $427.11	Professional	50	$215.28	$275.29	$427.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.98 / $327.91 / $2,413.00	Professional		$166.98	$327.91	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.39 / $259.39 / $259.39	Facility		$259.39	$259.39	$259.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $267.08 / $466.04	Professional		$151.37	$267.08	$466.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.23 / $306.14 / $385.38	Professional		$260.23	$306.14	$385.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.30 / $259.38 / $470.40	Facility		$144.30	$259.38	$470.40
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $195.00 / $478.80 / $1,157.31	Facility	50	$195.00	$478.80	$1,157.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $379.00 / $512.00	Professional		$338.00	$379.00	$512.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.28 / $193.25 / $3,440.00	Facility		$138.28	$193.25	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $347.11 / $3,440.00	Professional		$259.70	$347.11	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,764.00	Facility		$1,629.00	$2,819.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.47 / $285.52 / $492.54	Professional		$203.47	$285.52	$492.54