Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.98 / $4,796.00 / $9,177.75	Facility		$557.98	$4,796.00	$9,177.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,991.00 / $8,295.00 / $11,159.84	Facility	50	$2,991.00	$8,295.00	$11,159.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.54 / $543.36 / $911.52	Professional		$402.54	$543.36	$911.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $551.48 / $805.50	Professional		$416.93	$551.48	$805.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $450.82 / $632.16 / $4,284.00	Professional		$450.82	$632.16	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.61 / $594.44 / $1,128.50	Professional		$423.61	$594.44	$1,128.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.89 / $593.87 / $732.44	Professional		$494.89	$593.87	$732.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $464.95 / $591.46 / $850.86	Facility		$464.95	$591.46	$850.86
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $826.58 / $1,107.32 / $1,469.30	Facility	50	$826.58	$1,107.32	$1,469.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.00 / $675.00 / $983.61	Professional		$562.00	$675.00	$983.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $399.59 / $531.55 / $3,512.00	Facility		$399.59	$531.55	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $442.74 / $631.91 / $3,512.00	Professional		$442.74	$631.91	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.90 / $568.49 / $1,119.30	Professional		$404.90	$568.49	$1,119.30