Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $3,116.00 / $7,275.00	Facility		$188.06	$3,116.00	$7,275.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,567.54 / $2,667.00 / $9,500.52	Facility	50	$2,567.54	$2,667.00	$9,500.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $188.06 / $362.85	Professional		$148.08	$188.06	$362.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.84 / $170.04 / $170.04	Professional	50	$76.84	$170.04	$170.04
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 $146.28 / $187.07 / $256.56	Professional		$146.28	$187.07	$256.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $219.43 / $280.60 / $384.84	Professional	50	$219.43	$280.60	$384.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $242.70 / $5,895.00	Professional		$168.00	$242.70	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $222.25 / $396.51	Professional		$158.41	$222.25	$396.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $181.31 / $223.61	Professional		$151.09	$181.31	$223.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.51 / $219.09 / $340.39	Facility		$178.51	$219.09	$340.39
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $309.63 / $423.44 / $553.73	Facility	50	$309.63	$423.44	$553.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $226.00 / $370.99	Professional		$200.00	$226.00	$370.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $166.16 / $217.66 / $3,512.00	Facility		$166.16	$217.66	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $166.16 / $217.66 / $3,512.00	Professional		$166.16	$217.66	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $224.04 / $343.86	Professional		$130.50	$224.04	$343.86