Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.08 / $5,412.00 / $14,187.00	Facility		$398.08	$5,412.00	$14,187.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,104.79 / $9,566.42 / $22,458.51	Facility	50	$2,104.79	$9,566.42	$22,458.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.37 / $380.06 / $751.00	Professional		$365.37	$380.06	$751.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $511.62 / $511.62 / $1,038.08	Professional	50	$511.62	$511.62	$1,038.08
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 $295.95 / $378.46 / $519.04	Professional		$295.95	$378.46	$519.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $443.93 / $567.69 / $778.58	Professional	50	$443.93	$567.69	$778.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $337.82 / $494.25 / $7,369.00	Professional		$337.82	$494.25	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.73 / $510.20 / $800.95	Professional		$323.73	$510.20	$800.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.74 / $365.69 / $451.02	Professional		$304.74	$365.69	$451.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $365.38 / $474.99 / $749.54	Facility		$365.38	$474.99	$749.54
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $779.58 / $929.69 / $2,282.31	Facility	50	$779.58	$929.69	$2,282.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $550.00 / $780.00	Professional		$462.00	$550.00	$780.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $369.16 / $507.60 / $5,122.00	Facility		$369.16	$507.60	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $369.16 / $507.60 / $5,122.00	Professional		$369.16	$507.60	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $10,022.00 / $17,192.00	Facility		$6,303.00	$10,022.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.79 / $507.12 / $699.72	Professional		$268.79	$507.12	$699.72