Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $3,617.00 / $10,303.58	Facility		$284.08	$3,617.00	$10,303.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,334.00 / $9,214.27 / $9,214.27	Facility	50	$5,334.00	$9,214.27	$9,214.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $284.08 / $458.34	Professional		$172.30	$284.08	$458.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $514.95 / $795.57 / $795.57	Professional	50	$514.95	$795.57	$795.57
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 $157.75 / $245.62 / $369.53	Professional		$157.75	$245.62	$369.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $236.63 / $368.43 / $554.29	Professional	50	$236.63	$368.43	$554.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $244.50 / $3,426.00	Professional		$169.17	$244.50	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.67 / $291.29 / $497.90	Professional		$186.67	$291.29	$497.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.98 / $302.38 / $372.93	Professional		$251.98	$302.38	$372.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.99 / $301.12 / $510.58	Facility		$187.99	$301.12	$510.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $425.92 / $593.24 / $755.29	Facility	50	$425.92	$593.24	$755.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $392.00 / $560.00	Professional		$318.00	$392.00	$560.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $172.57 / $232.48 / $1,683.00	Facility		$172.57	$232.48	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $266.06 / $372.89 / $1,683.00	Professional		$266.06	$372.89	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.71 / $369.66 / $548.85	Professional		$226.71	$369.66	$548.85