Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $5,282.00 / $11,024.00	Facility		$301.35	$5,282.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $2,900.67 / $4,167.68	Professional		$230.93	$2,900.67	$4,167.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $8,071.57 / $8,071.57 / $8,071.57	Professional	50	$8,071.57	$8,071.57	$8,071.57
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 $251.79 / $1,602.62 / $4,216.34	Professional		$251.79	$1,602.62	$4,216.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $377.68 / $2,403.92 / $6,324.52	Professional	50	$377.68	$2,403.92	$6,324.52
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $35.25 / $224.36 / $590.28	Professional	AS	$35.25	$224.36	$590.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $389.72 / $9,638.00	Professional		$267.89	$389.72	$9,638.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $2,447.77 / $6,561.26	Professional		$284.27	$2,447.77	$6,561.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,369.91 / $3,385.59 / $4,157.81	Professional		$2,369.91	$3,385.59	$4,157.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.60 / $3,254.41 / $6,251.54	Facility		$288.60	$3,254.41	$6,251.54
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $683.97 / $7,734.41 / $10,951.23	Facility	50	$683.97	$7,734.41	$10,951.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $594.22 / $5,381.04 / $6,609.00	Professional		$594.22	$5,381.04	$6,609.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $261.98 / $349.95 / $5,573.95	Facility		$261.98	$349.95	$5,573.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,805.84 / $4,994.66 / $8,618.18	Professional		$3,805.84	$4,994.66	$8,618.18
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 $3,103.72 / $5,556.46 / $7,779.87	Professional		$3,103.72	$5,556.46	$7,779.87