Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $3,226.00 / $8,294.00	Facility		$167.40	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $185.47 / $378.57	Professional		$116.30	$185.47	$378.57
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 $120.16 / $153.66 / $230.52	Professional		$120.16	$153.66	$230.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $180.24 / $230.49 / $342.18	Professional	50	$180.24	$230.49	$342.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $308.12 / $2,413.00	Professional		$147.19	$308.12	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.74 / $218.74 / $218.74	Facility		$218.74	$218.74	$218.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $216.33 / $380.24	Professional		$128.36	$216.33	$380.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.52 / $239.43 / $301.70	Professional		$203.52	$239.43	$301.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.23 / $212.10 / $366.89	Facility		$125.23	$212.10	$366.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $303.00 / $396.00	Professional		$265.00	$303.00	$396.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.24 / $170.13 / $3,440.00	Facility		$125.24	$170.13	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.18 / $275.95 / $3,440.00	Professional		$208.18	$275.95	$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 $160.08 / $215.09 / $368.92	Professional		$160.08	$215.09	$368.92