Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.65 / $5,040.00 / $10,637.11	Facility		$214.65	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $228.09 / $356.84	Professional		$133.26	$228.09	$356.84
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 $122.84 / $208.48 / $312.54	Professional		$122.84	$208.48	$312.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $184.26 / $312.73 / $468.81	Professional	50	$184.26	$312.73	$468.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.58 / $190.38 / $3,426.00	Professional		$131.58	$190.38	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.29 / $257.57 / $806.40	Professional		$139.29	$257.57	$806.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.85 / $257.82 / $317.98	Professional		$214.85	$257.82	$317.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.15 / $248.63 / $971.94	Facility		$140.15	$248.63	$971.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $290.69 / $1,098.00	Professional		$242.00	$290.69	$1,098.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $235.19 / $1,683.00	Facility		$138.91	$235.19	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $221.86 / $350.61 / $1,683.00	Professional		$221.86	$350.61	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $338.06 / $966.41	Professional		$186.78	$338.06	$966.41