Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.86 / $2,438.00 / $8,900.00	Facility		$557.86	$2,438.00	$8,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,219.00 / $5,701.50 / $8,750.00	Facility	50	$1,219.00	$5,701.50	$8,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.50 / $557.86 / $889.47	Professional		$448.50	$557.86	$889.47
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 $513.53 / $656.70 / $900.66	Professional		$513.53	$656.70	$900.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $583.28 / $749.94 / $4,716.00	Professional		$583.28	$749.94	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.51 / $660.72 / $1,263.88	Professional		$485.51	$660.72	$1,263.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.72 / $638.05 / $786.95	Professional		$531.72	$638.05	$786.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $557.86 / $668.77 / $981.11	Facility		$557.86	$668.77	$981.11
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $868.31 / $1,103.47 / $1,481.44	Facility	50	$868.31	$1,103.47	$1,481.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $599.00 / $708.00 / $1,206.00	Professional		$599.00	$708.00	$1,206.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $471.88 / $663.35 / $5,122.00	Facility		$471.88	$663.35	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $471.88 / $663.35 / $5,122.00	Professional		$471.88	$663.35	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,321.00	Facility		$6,303.00	$9,373.00	$17,321.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.55 / $633.90 / $1,096.08	Professional		$411.55	$633.90	$1,096.08