Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.85 / $4,680.85 / $8,920.00	Facility		$457.85	$4,680.85	$8,920.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,954.75 / $5,130.35 / $10,347.65	Facility	50	$1,954.75	$5,130.35	$10,347.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $311.91 / $585.97	Professional		$291.39	$311.91	$585.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $216.49 / $425.60 / $850.27	Professional	50	$216.49	$425.60	$850.27
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 $243.40 / $311.26 / $426.89	Professional		$243.40	$311.26	$426.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $365.10 / $466.89 / $640.33	Professional	50	$365.10	$466.89	$640.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $278.04 / $404.14 / $5,895.00	Professional		$278.04	$404.14	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.75 / $402.26 / $654.79	Professional		$265.75	$402.26	$654.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.17 / $300.20 / $370.25	Professional		$250.17	$300.20	$370.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $299.55 / $389.42 / $591.23	Facility		$299.55	$389.42	$591.23
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $616.82 / $737.02 / $1,081.77	Facility	50	$616.82	$737.02	$1,081.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $437.00 / $620.00	Professional		$371.00	$437.00	$620.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.02 / $403.22 / $3,512.00	Facility		$302.02	$403.22	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $403.22 / $3,512.00	Professional		$302.02	$403.22	$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 $230.67 / $411.20 / $572.13	Professional		$230.67	$411.20	$572.13