Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $3,019.95 / $10,232.93	Facility		$281.84	$3,019.95	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $5,370.32 / $9,772.37	Facility	50	$3,467.37	$5,370.32	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $630.96	Professional		$165.96	$281.84	$630.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $831.76 / $1,548.82	Professional	50	$512.86	$831.76	$1,548.82
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 / $263.03 / $416.87	Professional		$169.82	$263.03	$416.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $398.11 / $630.96	Professional	50	$257.04	$398.11	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $3,548.13	Professional		$165.96	$251.19	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $489.78	Professional		$181.97	$288.40	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $323.59 / $831.76	Professional		$134.90	$323.59	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $616.60	Professional		$407.38	$501.19	$616.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $309.03 / $549.54	Facility		$181.97	$309.03	$549.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $229.09 / $3,630.78	Facility		$154.88	$229.09	$3,630.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $3,630.78	Professional		$245.47	$371.54	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $478.63	Professional		$144.54	$263.03	$478.63