Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.26 / $3,226.00 / $8,294.00	Facility		$179.26	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $181.54 / $351.09	Professional		$125.80	$181.54	$351.09
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 $133.69 / $170.96 / $247.89	Professional		$133.69	$170.96	$247.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $200.53 / $256.44 / $367.28	Professional	50	$200.53	$256.44	$367.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.49 / $319.00 / $1,013.00	Professional		$164.49	$319.00	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.44 / $241.44 / $241.44	Facility		$241.44	$241.44	$241.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.96 / $220.83 / $389.21	Professional		$141.96	$220.83	$389.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $240.80 / $303.73	Professional		$204.68	$240.80	$303.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.49 / $213.90 / $367.40	Facility		$134.49	$213.90	$367.40
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $198.00 / $352.01 / $889.79	Facility	50	$198.00	$352.01	$889.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $279.00 / $393.00	Professional		$247.00	$279.00	$393.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $181.11 / $1,380.00	Facility		$129.63	$181.11	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $205.23 / $269.45 / $1,380.00	Professional		$205.23	$269.45	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $213.30 / $378.03	Professional		$145.97	$213.30	$378.03