Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.91 / $4,989.00 / $9,775.91	Facility		$617.91	$4,989.00	$9,775.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,251.00 / $5,350.50 / $6,979.00	Facility	50	$4,251.00	$5,350.50	$6,979.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.83 / $603.04 / $1,006.39	Professional		$442.83	$603.04	$1,006.39
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 $459.65 / $612.96 / $909.64	Professional		$459.65	$612.96	$909.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $497.89 / $701.05 / $4,716.00	Professional		$497.89	$701.05	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.93 / $659.60 / $1,253.11	Professional		$467.93	$659.60	$1,253.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.20 / $654.24 / $806.90	Professional		$545.20	$654.24	$806.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $515.90 / $655.00 / $952.28	Facility		$515.90	$655.00	$952.28
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $910.04 / $1,225.03 / $1,625.96	Facility	50	$910.04	$1,225.03	$1,625.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $618.00 / $749.00 / $1,083.13	Professional		$618.00	$749.00	$1,083.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $442.25 / $594.95 / $3,512.00	Facility		$442.25	$594.95	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $488.65 / $706.73 / $3,512.00	Professional		$488.65	$706.73	$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 $430.47 / $668.00 / $1,216.76	Professional		$430.47	$668.00	$1,216.76