Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.58 / $3,912.00 / $8,917.74	Facility		$280.58	$3,912.00	$8,917.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,640.77 / $1,640.77 / $5,548.71	Facility	50	$1,640.77	$1,640.77	$5,548.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $280.58 / $449.36	Professional		$180.59	$280.58	$449.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $305.76 / $305.76 / $716.00	Professional	50	$305.76	$305.76	$716.00
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 $164.99 / $239.99 / $360.00	Professional		$164.99	$239.99	$360.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $247.49 / $359.99 / $540.01	Professional	50	$247.49	$359.99	$540.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.85 / $255.83 / $3,026.00	Professional		$176.85	$255.83	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.23 / $305.98 / $508.97	Professional		$195.23	$305.98	$508.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.74 / $293.69 / $362.22	Professional		$244.74	$293.69	$362.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.61 / $307.14 / $513.46	Facility		$197.61	$307.14	$513.46
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $445.03 / $664.80 / $762.48	Facility	50	$445.03	$664.80	$762.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $403.00 / $575.00	Professional		$318.00	$403.00	$575.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.25 / $256.41 / $1,683.00	Facility		$183.25	$256.41	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $284.41 / $387.72 / $1,683.00	Professional		$284.41	$387.72	$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 $215.87 / $385.16 / $544.13	Professional		$215.87	$385.16	$544.13