Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.47 / $3,633.00 / $8,294.00	Facility		$231.47	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $255.31 / $439.70	Professional		$149.21	$255.31	$439.70
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 $167.18 / $213.79 / $336.79	Professional		$167.18	$213.79	$336.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $250.77 / $320.68 / $505.19	Professional	50	$250.77	$320.68	$505.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.63 / $381.38 / $4,284.00	Professional		$194.63	$381.38	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.98 / $301.98 / $301.98	Facility		$301.98	$301.98	$301.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.33 / $309.17 / $534.41	Professional		$176.33	$309.17	$534.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.17 / $363.73 / $457.51	Professional		$309.17	$363.73	$457.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.81 / $307.48 / $557.10	Facility		$172.81	$307.48	$557.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $346.50 / $535.04 / $1,344.53	Facility	50	$346.50	$535.04	$1,344.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $426.00 / $595.00	Professional		$382.00	$426.00	$595.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $162.31 / $225.68 / $7,420.00	Facility		$162.31	$225.68	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $305.10 / $396.62 / $7,420.00	Professional		$305.10	$396.62	$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 $230.03 / $328.89 / $533.72	Professional		$230.03	$328.89	$533.72