Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.37 / $3,617.00 / $8,294.00	Facility		$188.37	$3,617.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $198.61 / $386.70	Professional		$127.93	$198.61	$386.70
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 $135.84 / $173.71 / $256.75	Professional		$135.84	$173.71	$256.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $203.76 / $260.56 / $377.13	Professional	50	$203.76	$260.56	$377.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $335.63 / $3,426.00	Professional		$167.09	$335.63	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.40 / $245.40 / $245.40	Facility		$245.40	$245.40	$245.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $231.34 / $407.09	Professional		$144.19	$231.34	$407.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $260.68 / $328.26	Professional		$221.58	$260.68	$328.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.27 / $231.70 / $394.87	Facility		$141.27	$231.70	$394.87
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $241.50 / $391.40 / $970.87	Facility	50	$241.50	$391.40	$970.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $312.00 / $429.00	Professional		$277.00	$312.00	$429.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $135.63 / $184.50 / $7,420.00	Facility		$135.63	$184.50	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $225.64 / $300.45 / $7,420.00	Professional		$225.64	$300.45	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.58 / $233.33 / $406.23	Professional		$163.58	$233.33	$406.23