Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.53 / $2,004.00 / $8,294.00	Facility		$121.53	$2,004.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,826.15 / $5,826.15 / $5,826.15	Facility	50	$5,826.15	$5,826.15	$5,826.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.03 / $205.88 / $363.93	Professional		$79.03	$205.88	$363.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $96.35 / $159.10	Professional		$75.81	$96.35	$159.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $83.58 / $676.00	Professional		$83.58	$83.58	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $219.36 / $536.82	Professional		$85.55	$219.36	$536.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.92 / $346.71 / $424.89	Professional		$288.92	$346.71	$424.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.39 / $279.83 / $564.96	Facility		$94.39	$279.83	$564.96
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $223.50 / $494.88 / $1,011.00	Facility	50	$223.50	$494.88	$1,011.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $343.15 / $541.00	Professional		$300.00	$343.15	$541.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.27 / $115.21 / $289.56	Facility		$85.27	$115.21	$289.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $271.69 / $383.26 / $718.51	Professional		$271.69	$383.26	$718.51
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $369.79 / $597.86	Professional		$239.00	$369.79	$597.86