Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $3,467.37 / $8,317.64	Facility		$177.83	$3,467.37	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $457.09	Professional		$151.36	$269.15	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $1,148.15 / $2,630.27	Professional	50	$676.08	$1,148.15	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $457.09	Professional		$158.49	$275.42	$457.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $416.87 / $691.83	Professional	50	$234.42	$416.87	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $3,548.13	Professional		$162.18	$245.47	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $501.19	Professional		$162.18	$281.84	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $338.84 / $416.87	Professional		$125.89	$338.84	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $295.12 / $512.86	Facility		$165.96	$295.12	$512.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $4,073.80	Facility		$141.25	$199.53	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $4,073.80	Professional		$263.03	$371.54	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $478.63	Professional		$131.83	$251.19	$478.63