Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,454.71 / $8,511.38	Facility		$562.34	$2,454.71	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $2,630.27 / $8,709.64	Facility	50	$977.24	$2,630.27	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,023.29	Professional		$426.58	$562.34	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,000.00	Professional		$524.81	$707.95	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $5,495.41	Professional		$602.56	$912.01	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,148.15	Professional		$467.74	$630.96	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $1,584.89	Professional		$501.19	$616.60	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,258.93	Professional		$588.84	$741.31	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $676.08 / $1,023.29	Facility		$524.81	$676.08	$1,023.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $676.08 / $10,000.00	Facility		$446.68	$676.08	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $10,000.00	Professional		$446.68	$676.08	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,000.00	Professional		$398.11	$588.84	$1,000.00