Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,630.27 / $7,079.46	Facility		$151.36	$2,630.27	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $616.60	Professional		$104.71	$151.36	$616.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $234.42 / $933.25	Professional	50	$162.18	$234.42	$933.25
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 $109.65 / $158.49 / $229.09	Professional		$109.65	$158.49	$229.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $234.42 / $338.84	Professional	50	$162.18	$234.42	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $354.81 / $1,047.13	Professional		$117.49	$354.81	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $245.47	Professional		$102.33	$147.91	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $194.98	Professional		$102.33	$151.36	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $173.78	Professional		$114.82	$154.88	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $234.42	Facility		$100.00	$147.91	$234.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $147.91 / $1,659.59	Facility		$93.33	$147.91	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $1,659.59	Professional		$104.71	$165.96	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $218.78	Professional		$85.11	$120.23	$218.78