Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.47 / $4,347.00 / $8,920.00	Facility		$211.47	$4,347.00	$8,920.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $409.00 / $409.00 / $701.18	Facility	50	$409.00	$409.00	$701.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $1,565.57 / $3,831.30	Professional		$189.24	$1,565.57	$3,831.30
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 $176.55 / $865.29 / $2,276.50	Professional		$176.55	$865.29	$2,276.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $264.83 / $1,297.93 / $3,414.75	Professional	50	$264.83	$1,297.93	$3,414.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $272.75 / $11,515.00	Professional		$188.10	$272.75	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $532.65 / $5,022.92	Professional		$208.49	$532.65	$5,022.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,521.02 / $1,830.67 / $2,288.34	Professional		$1,521.02	$1,830.67	$2,288.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $207.90 / $1,830.67 / $4,005.83	Facility		$207.90	$1,830.67	$4,005.83
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $479.07 / $5,792.47 / $8,692.82	Facility	50	$479.07	$5,792.47	$8,692.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,139.67 / $2,789.57 / $5,078.00	Professional		$2,139.67	$2,789.57	$5,078.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.26 / $263.02 / $5,320.57	Facility		$199.26	$263.02	$5,320.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,104.67 / $3,147.46 / $7,030.19	Professional		$2,104.67	$3,147.46	$7,030.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,649.51 / $3,189.59 / $5,877.40	Professional		$1,649.51	$3,189.59	$5,877.40