Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $3,633.00 / $8,294.00	Facility		$104.27	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $109.36 / $215.26	Professional		$90.28	$109.36	$215.26
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 $100.79 / $126.83 / $178.99	Professional		$100.79	$126.83	$178.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.19 / $190.25 / $268.48	Professional	50	$151.19	$190.25	$268.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $248.82 / $1,080.00	Professional		$123.69	$248.82	$1,080.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.81 / $181.81 / $181.81	Facility		$181.81	$181.81	$181.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.21 / $140.49 / $247.17	Professional		$101.21	$140.49	$247.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $133.30 / $170.66	Professional		$113.31	$133.30	$170.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $140.10 / $232.05	Facility		$100.00	$140.10	$232.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $166.00 / $229.33	Professional		$147.00	$166.00	$229.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $136.18 / $3,440.00	Facility		$95.48	$136.18	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $156.74 / $3,440.00	Professional		$115.99	$156.74	$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 $85.49 / $121.80 / $214.62	Professional		$85.49	$121.80	$214.62