Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $2,063.37 / $8,294.00	Facility		$119.91	$2,063.37	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $146.69 / $240.92	Professional		$83.38	$146.69	$240.92
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 $87.27 / $111.61 / $167.43	Professional		$87.27	$111.61	$167.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $201.73 / $2,413.00	Professional		$101.19	$201.73	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $159.44 / $159.44	Facility		$159.44	$159.44	$159.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $169.12 / $322.13	Professional		$92.68	$169.12	$322.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $200.28 / $251.76	Professional		$170.24	$200.28	$251.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $170.11 / $318.58	Facility		$94.68	$170.11	$318.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $201.94 / $299.45 / $733.08	Facility	50	$201.94	$299.45	$733.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $237.00 / $324.00	Professional		$211.00	$237.00	$324.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $126.76 / $3,440.00	Facility		$90.07	$126.76	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $233.69 / $3,440.00	Professional		$173.48	$233.69	$3,440.00
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 $126.84 / $180.94 / $323.30	Professional		$126.84	$180.94	$323.30