Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.03 / $4,805.00 / $8,925.00	Facility		$620.03	$4,805.00	$8,925.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,738.43 / $4,738.43 / $4,738.43	Facility	50	$4,738.43	$4,738.43	$4,738.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $541.87 / $947.51	Professional		$330.20	$541.87	$947.51
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 $352.65 / $460.99 / $762.15	Professional		$352.65	$460.99	$762.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.80 / $451.04 / $3,714.00	Professional		$436.80	$451.04	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $662.53	Facility		$640.00	$640.00	$662.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.21 / $563.99 / $1,047.90	Professional		$381.21	$563.99	$1,047.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $515.73 / $661.28 / $781.51	Professional		$515.73	$661.28	$781.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $408.51 / $582.45 / $942.74	Facility		$408.51	$582.45	$942.74
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $822.78 / $1,291.50 / $2,000.33	Facility	50	$822.78	$1,291.50	$2,000.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $703.00 / $1,002.00	Professional		$602.00	$703.00	$1,002.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $361.78 / $472.93 / $1,770.00	Facility		$361.78	$472.93	$1,770.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $437.99 / $651.49 / $2,298.66	Professional		$437.99	$651.49	$2,298.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.56 / $586.91 / $1,013.18	Professional		$366.56	$586.91	$1,013.18