Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.07 / $5,538.62 / $9,250.00	Facility		$1,354.07	$5,538.62	$9,250.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,328.00 / $9,155.68 / $9,155.68	Facility	50	$6,328.00	$9,155.68	$9,155.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.41 / $574.82 / $925.91	Professional		$468.41	$574.82	$925.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.06 / $616.22 / $1,028.71	Professional		$473.06	$616.22	$1,028.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $566.12 / $621.73 / $3,019.00	Professional		$566.12	$621.73	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.59 / $589.59 / $1,700.00	Facility		$589.59	$589.59	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.20 / $642.28 / $1,116.69	Professional		$499.20	$642.28	$1,116.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.25 / $640.52 / $756.98	Professional		$499.25	$640.52	$756.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $526.99 / $664.83 / $967.02	Facility		$526.99	$664.83	$967.02
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $913.80 / $1,093.50 / $1,984.48	Facility	50	$913.80	$1,093.50	$1,984.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.00 / $721.82 / $999.00	Professional		$616.00	$721.82	$999.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $498.02 / $642.86 / $2,230.00	Facility		$498.02	$642.86	$2,230.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $498.02 / $642.86 / $2,230.00	Professional		$498.02	$642.86	$2,230.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.97 / $606.53 / $984.66	Professional		$379.97	$606.53	$984.66