Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.58 / $4,006.79 / $8,036.64	Facility		$720.58	$4,006.79	$8,036.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,200.67 / $3,200.67 / $9,040.36	Facility	50	$3,200.67	$3,200.67	$9,040.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $430.47 / $935.99	Professional		$149.55	$430.47	$935.99
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 $149.49 / $392.54 / $673.30	Professional		$149.49	$392.54	$673.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $293.18 / $2,413.00	Professional		$188.73	$293.18	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.27 / $453.56 / $1,102.92	Professional		$177.27	$453.56	$1,102.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.92 / $549.50 / $677.72	Professional		$457.92	$549.50	$677.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.99 / $496.04 / $945.67	Facility		$168.99	$496.04	$945.67
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $411.39 / $1,328.34 / $1,866.91	Facility	50	$411.39	$1,328.34	$1,866.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.53 / $893.00 / $1,626.00	Professional		$354.53	$893.00	$1,626.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.47 / $222.01 / $2,039.00	Facility		$169.47	$222.01	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $610.41 / $839.23 / $2,052.00	Professional		$610.41	$839.23	$2,052.00
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 $521.65 / $959.66 / $1,372.04	Professional		$521.65	$959.66	$1,372.04