Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.52 / $4,782.00 / $8,294.00	Facility		$842.52	$4,782.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,780.00 / $4,357.50 / $5,982.00	Facility	50	$3,780.00	$4,357.50	$5,982.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.91 / $735.43 / $1,313.14	Professional		$554.91	$735.43	$1,313.14
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 $612.50 / $783.25 / $1,081.03	Professional		$612.50	$783.25	$1,081.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $706.07 / $991.15 / $5,291.00	Professional		$706.07	$991.15	$5,291.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.77 / $843.92 / $1,632.32	Professional		$491.77	$843.92	$1,632.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.20 / $749.04 / $923.82	Professional		$624.20	$749.04	$923.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $625.12 / $802.28 / $1,201.42	Facility		$625.12	$802.28	$1,201.42
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $606.38 / $1,394.16 / $1,937.80	Facility	50	$606.38	$1,394.16	$1,937.80
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $80.84 / $185.89 / $258.37	Facility	80	$80.84	$185.89	$258.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $56.60 / $130.12 / $180.86	Facility	AS	$56.60	$130.12	$180.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $744.00 / $912.00 / $1,534.46	Professional		$744.00	$912.00	$1,534.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $453.66 / $838.74 / $4,071.00	Facility		$453.66	$838.74	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $453.66 / $838.74 / $4,071.00	Professional		$453.66	$838.74	$4,071.00
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 $427.88 / $704.37 / $1,429.06	Professional		$427.88	$704.37	$1,429.06