Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $3,235.94 / $8,912.51	Facility		$77.62	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $204.17	Professional		$74.13	$104.71	$204.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $239.88 / $870.96	Professional	50	$109.65	$239.88	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $154.88	Professional		$75.86	$107.15	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $162.18 / $234.42	Professional	50	$112.20	$162.18	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $354.81 / $1,047.13	Professional		$79.43	$354.81	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $173.78	Professional		$77.62	$117.49	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $138.04	Professional		$70.79	$107.15	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $190.55	Professional		$100.00	$169.82	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $181.97	Facility		$70.79	$109.65	$181.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $117.49 / $4,073.80	Facility		$69.18	$117.49	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $4,073.80	Professional		$79.43	$138.04	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,511.89	Facility		$229.09	$1,202.26	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $165.96	Professional		$63.10	$95.50	$165.96