Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.67 / $3,991.00 / $10,637.11	Facility		$638.67	$3,991.00	$10,637.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,474.00 / $8,626.50 / $9,957.20	Facility	50	$5,474.00	$8,626.50	$9,957.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.31 / $608.29 / $1,088.50	Professional		$497.31	$608.29	$1,088.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.37 / $1,483.73 / $2,267.04	Professional	50	$691.37	$1,483.73	$2,267.04
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 $520.65 / $667.59 / $949.57	Professional		$520.65	$667.59	$949.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $785.21 / $1,003.54 / $1,424.36	Professional	50	$785.21	$1,003.54	$1,424.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $580.61 / $593.20 / $3,426.00	Professional		$580.61	$593.20	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $911.35 / $911.35 / $911.35	Facility		$911.35	$911.35	$911.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.54 / $701.42 / $1,218.08	Professional		$526.54	$701.42	$1,218.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.34 / $720.90 / $858.21	Professional		$650.34	$720.90	$858.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $516.59 / $677.00 / $993.74	Facility		$516.59	$677.00	$993.74
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $774.89 / $874.64 / $1,246.97	Facility	50	$774.89	$874.64	$1,246.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $849.00 / $1,297.66	Professional		$750.00	$849.00	$1,297.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $729.58 / $3,123.00	Facility		$551.66	$729.58	$3,123.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $614.37 / $807.89 / $3,123.00	Professional		$614.37	$807.89	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.30 / $640.25 / $1,105.23	Professional		$496.30	$640.25	$1,105.23