Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.86 / $3,493.50 / $9,914.71	Facility		$373.86	$3,493.50	$9,914.71
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,610.16 / $4,066.05 / $9,830.02	Facility	50	$1,610.16	$4,066.05	$9,830.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.03 / $460.93 / $713.66	Professional		$251.03	$460.93	$713.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.07 / $99.07 / $389.10	Professional	50	$99.07	$99.07	$389.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.77 / $398.45 / $597.33	Professional		$238.77	$398.45	$597.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $358.15 / $597.67 / $895.99	Professional	50	$358.15	$597.67	$895.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $370.56 / $5,895.00	Professional		$254.59	$370.56	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $427.92 / $793.33	Professional		$267.52	$427.92	$793.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.56 / $498.67 / $615.03	Professional		$415.56	$498.67	$615.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $274.49 / $460.94 / $753.01	Facility		$274.49	$460.94	$753.01
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $529.95 / $736.48 / $1,225.63	Facility	50	$529.95	$736.48	$1,225.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $427.00 / $670.00	Professional		$340.00	$427.00	$670.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $270.64 / $358.02 / $3,512.00	Facility		$270.64	$358.02	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $299.69 / $513.96 / $3,512.00	Professional		$299.69	$513.96	$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 $278.43 / $452.82 / $924.65	Professional		$278.43	$452.82	$924.65