Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $3,226.00 / $8,294.00	Facility		$119.91	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $142.28 / $237.72	Professional		$83.40	$142.28	$237.72
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 $86.97 / $111.22 / $180.88	Professional		$86.97	$111.22	$180.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $219.51 / $2,413.00	Professional		$112.57	$219.51	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.41 / $159.41 / $159.41	Facility		$159.41	$159.41	$159.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $167.63 / $298.67	Professional		$93.20	$167.63	$298.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $197.21 / $248.11	Professional		$167.63	$197.21	$248.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $166.83 / $303.13	Facility		$90.93	$166.83	$303.13
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $190.50 / $294.72 / $740.24	Facility	50	$190.50	$294.72	$740.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $234.00 / $328.00	Professional		$209.00	$234.00	$328.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.13 / $119.26 / $2,755.00	Facility		$88.13	$119.26	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $226.42 / $2,755.00	Professional		$170.94	$226.42	$2,755.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,906.00 / $4,428.00	Facility		$1,066.00	$1,906.00	$4,428.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $168.41 / $283.17	Professional		$117.69	$168.41	$283.17