Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.22 / $2,021.18 / $8,294.00	Facility		$151.22	$2,021.18	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $216.79 / $365.40	Professional		$100.35	$216.79	$365.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $137.94 / $225.24	Professional		$107.86	$137.94	$225.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $161.80 / $206.91 / $337.86	Professional	50	$161.80	$206.91	$337.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $263.54 / $1,013.00	Professional		$133.00	$263.54	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.28 / $189.28 / $189.28	Facility		$189.28	$189.28	$189.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $234.56 / $451.28	Professional		$111.66	$234.56	$451.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.86 / $290.42 / $363.03	Professional		$246.86	$290.42	$363.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.32 / $217.55 / $459.92	Facility		$105.32	$217.55	$459.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $328.00 / $480.10	Professional		$292.00	$328.00	$480.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.61 / $143.09 / $1,380.00	Facility		$96.61	$143.09	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $329.28 / $1,380.00	Professional		$242.55	$329.28	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.27 / $263.39 / $453.08	Professional		$179.27	$263.39	$453.08