Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $3,832.00 / $10,767.00	Facility		$151.75	$3,832.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $211.57 / $270.42	Professional		$132.00	$211.57	$270.42
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 $136.34 / $207.22 / $309.26	Professional		$136.34	$207.22	$309.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $204.51 / $310.83 / $463.89	Professional	50	$204.51	$310.83	$463.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $216.06 / $2,413.00	Professional		$150.04	$216.06	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $238.34 / $398.38	Professional		$146.63	$238.34	$398.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $244.74 / $301.85	Professional		$203.95	$244.74	$301.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $245.45 / $355.89	Facility		$151.75	$245.45	$355.89
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $269.64 / $399.64 / $633.45	Facility	50	$269.64	$399.64	$633.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $306.00 / $453.00	Professional		$269.06	$306.00	$453.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.05 / $178.67 / $819.00	Facility		$136.05	$178.67	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $198.03 / $283.67 / $893.01	Professional		$198.03	$283.67	$893.01
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 $164.41 / $277.24 / $458.32	Professional		$164.41	$277.24	$458.32