Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $6,165.95 / $12,589.25	Facility		$891.25	$6,165.95	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility	50	$14,454.40	$14,454.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $2,511.89	Professional		$478.63	$776.25	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,348.96	Professional		$549.54	$794.33	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $5,495.41	Professional		$588.84	$851.14	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,148.15	Professional		$537.03	$741.31	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $741.31	Professional		$501.19	$630.96	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,258.93	Professional		$812.83	$1,023.29	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $741.31 / $1,202.26	Facility		$524.81	$741.31	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $7,079.46	Facility		$524.81	$724.44	$7,079.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $7,079.46	Professional		$524.81	$724.44	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,096.48	Professional		$416.87	$660.69	$1,096.48