Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,230.27 / $7,079.46	Facility		$309.03	$1,230.27	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $3,548.13 / $7,762.47	Facility	50	$912.01	$3,548.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $1,096.48	Professional		$186.21	$323.59	$1,096.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $407.38 / $1,778.28	Professional	50	$47.86	$407.38	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $323.59	Professional		$169.82	$229.09	$323.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $338.84 / $478.63	Professional	50	$257.04	$338.84	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $5,495.41	Professional		$181.97	$281.84	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $630.96	Professional		$208.93	$389.05	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $354.81 / $912.01	Professional		$147.91	$354.81	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $707.95	Professional		$398.11	$588.84	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $691.83	Facility		$199.53	$354.81	$691.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $457.09 / $8,709.64	Facility		$186.21	$457.09	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $8,709.64	Professional		$288.40	$501.19	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $331.13 / $630.96	Professional		$158.49	$331.13	$630.96