Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.86 / $2,670.00 / $8,294.00	Facility		$168.86	$2,670.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,833.00 / $6,833.00 / $6,833.00	Facility	50	$6,833.00	$6,833.00	$6,833.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $448.26 / $822.96	Professional		$152.88	$448.26	$822.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.90 / $367.66 / $858.28	Professional		$133.90	$367.66	$858.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.15 / $143.15 / $690.00	Professional		$143.15	$143.15	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $235.63	Facility		$235.63	$235.63	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $351.73 / $1,080.24	Professional		$158.21	$351.73	$1,080.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.54 / $649.84 / $796.38	Professional		$541.54	$649.84	$796.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $405.00 / $1,101.90	Facility		$164.45	$405.00	$1,101.90
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $375.00 / $708.00 / $2,172.06	Facility	50	$375.00	$708.00	$2,172.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.00 / $893.24 / $1,199.00	Professional		$691.00	$893.24	$1,199.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $205.89 / $345.61	Facility		$146.88	$205.89	$345.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $533.27 / $884.57 / $1,388.26	Professional		$533.27	$884.57	$1,388.26
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,224.00 / $2,364.00	Facility		$296.00	$1,224.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.93 / $807.82 / $1,277.98	Professional		$505.93	$807.82	$1,277.98