Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.74 / $4,393.64 / $8,920.00	Facility		$169.74	$4,393.64	$8,920.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,527.46 / $1,527.46 / $1,527.46	Facility	50	$1,527.46	$1,527.46	$1,527.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $1,527.33 / $3,799.61	Professional		$155.49	$1,527.33	$3,799.61
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 $141.90 / $844.88 / $2,222.82	Professional		$141.90	$844.88	$2,222.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $212.85 / $1,267.33 / $3,334.23	Professional	50	$212.85	$1,267.33	$3,334.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $219.11 / $11,515.00	Professional		$151.40	$219.11	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.74 / $462.95 / $4,976.21	Professional		$169.74	$462.95	$4,976.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.62 / $1,786.59 / $2,233.23	Professional		$1,482.62	$1,786.59	$2,233.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.46 / $1,786.59 / $3,919.27	Facility		$169.46	$1,786.59	$3,919.27
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $383.63 / $5,673.69 / $8,611.82	Facility	50	$383.63	$5,673.69	$8,611.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,104.23 / $2,739.03 / $4,988.00	Professional		$2,104.23	$2,739.03	$4,988.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $213.81 / $4,283.00	Facility		$163.28	$213.81	$4,283.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,059.42 / $3,080.86 / $6,266.34	Professional		$2,059.42	$3,080.86	$6,266.34
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 $1,614.61 / $3,244.09 / $5,827.50	Professional		$1,614.61	$3,244.09	$5,827.50