Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $11,748.98 / $30,902.95	Facility		$2,238.72	$11,748.98	$30,902.95
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $19,054.61 / $19,054.61 / $19,054.61	Facility	22	$19,054.61	$19,054.61	$19,054.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $25,703.96 / $43,651.58 / $53,703.18	Facility	50	$25,703.96	$43,651.58	$53,703.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,862.09 / $5,623.41	Professional		$954.99	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $158.49 / $331.13 / $851.14	Professional	AS	$158.49	$331.13	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $30,199.52 / $30,199.52	Facility		$26,915.35	$30,199.52	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $3,162.28	Professional		$1,288.25	$1,862.09	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $177.83 / $263.03 / $446.68	Professional	AS	$177.83	$263.03	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $19,952.62	Professional		$1,380.38	$1,949.84	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,754.23	Professional		$1,258.93	$1,737.80	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,659.59	Professional		$1,122.02	$1,412.54	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,951.21	Professional		$1,905.46	$2,398.83	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,818.38	Facility		$1,230.27	$1,778.28	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $24,547.09	Facility		$1,258.93	$1,737.80	$24,547.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $24,547.09	Professional		$1,258.93	$1,737.80	$24,547.09
United Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $26,915.35 / $41,686.94	Facility		$10,964.78	$26,915.35	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,691.53	Professional		$1,047.13	$1,621.81	$2,691.53