Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.28 / $4,347.00 / $8,294.00	Facility		$168.28	$4,347.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $942.48 / $2,145.23 / $3,019.50	Facility	50	$942.48	$2,145.23	$3,019.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $165.14 / $286.08	Professional		$143.18	$165.14	$286.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $180.39 / $247.40	Professional		$141.06	$180.39	$247.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.23 / $240.81 / $3,426.00	Professional		$165.23	$240.81	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $197.81 / $369.39	Professional		$148.91	$197.81	$369.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $174.34 / $215.01	Professional		$145.28	$174.34	$215.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.13 / $200.73 / $302.20	Facility		$165.13	$200.73	$302.20
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $280.39 / $345.14 / $439.86	Facility	50	$280.39	$345.14	$439.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $211.00 / $358.82	Professional		$185.00	$211.00	$358.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.87 / $196.19 / $1,683.00	Facility		$152.87	$196.19	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $152.87 / $196.19 / $1,683.00	Professional		$152.87	$196.19	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $4,039.00 / $6,328.36	Facility		$1,911.00	$4,039.00	$6,328.36
United Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $210.49 / $325.48	Professional		$121.55	$210.49	$325.48