Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $2,561.00 / $8,294.00	Facility		$135.41	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $163.08 / $350.60	Professional		$110.34	$163.08	$350.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $344.63 / $1,479.88 / $1,519.55	Professional	50	$344.63	$1,479.88	$1,519.55
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 $117.08 / $149.72 / $216.72	Professional		$117.08	$149.72	$216.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $175.63 / $224.59 / $311.87	Professional	50	$175.63	$224.59	$311.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $265.75 / $1,080.00	Professional		$136.28	$265.75	$1,080.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.47 / $211.47 / $211.47	Facility		$211.47	$211.47	$211.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $212.64 / $316.69	Professional		$132.94	$212.64	$316.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $177.48 / $225.08	Professional		$150.86	$177.48	$225.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.53 / $181.32 / $324.31	Facility		$121.53	$181.32	$324.31
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $183.00 / $341.03 / $663.11	Facility	50	$183.00	$341.03	$663.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $292.00 / $334.00	Professional		$194.00	$292.00	$334.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.35 / $217.18 / $1,380.00	Facility		$126.35	$217.18	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $262.32 / $1,380.00	Professional		$155.21	$262.32	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $176.98 / $340.66	Professional		$121.09	$176.98	$340.66