Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.17 / $4,196.00 / $9,347.59	Facility		$861.17	$4,196.00	$9,347.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,821.00 / $5,926.48 / $8,030.64	Facility	50	$5,821.00	$5,926.48	$8,030.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.44 / $791.69 / $1,244.39	Professional		$655.44	$791.69	$1,244.39
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 $664.41 / $886.02 / $1,282.76	Professional		$664.41	$886.02	$1,282.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $996.62 / $1,329.03 / $1,924.14	Professional	50	$996.62	$1,329.03	$1,924.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.64 / $1,017.79 / $5,036.00	Professional		$724.64	$1,017.79	$5,036.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.11 / $1,017.74 / $1,832.20	Professional		$709.11	$1,017.74	$1,832.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.16 / $952.99 / $1,175.35	Professional		$794.16	$952.99	$1,175.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $755.02 / $995.25 / $1,508.01	Facility		$755.02	$995.25	$1,508.01
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,515.89 / $1,864.70 / $2,448.30	Facility	50	$1,515.89	$1,864.70	$2,448.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,172.00 / $1,633.00	Professional		$1,021.00	$1,172.00	$1,633.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $668.38 / $891.31 / $3,887.70	Facility		$668.38	$891.31	$3,887.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $845.93 / $1,097.66 / $3,969.49	Professional		$845.93	$1,097.66	$3,969.49
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 $679.81 / $1,113.92 / $1,810.52	Professional		$679.81	$1,113.92	$1,810.52