Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.72 / $3,633.00 / $8,294.00	Facility		$350.72	$3,633.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,257.50 / $3,257.50 / $8,539.81	Facility	50	$3,257.50	$3,257.50	$8,539.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.82 / $911.62 / $1,639.83	Professional		$309.82	$911.62	$1,639.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $968.37 / $1,901.73	Professional		$281.27	$968.37	$1,901.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $420.57 / $1,452.56 / $2,690.54	Professional	50	$420.57	$1,452.56	$2,690.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $285.80 / $285.80 / $880.71	Professional		$285.80	$285.80	$880.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $482.50	Facility		$482.50	$482.50	$482.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.87 / $769.49 / $2,309.41	Professional		$315.87	$769.49	$2,309.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.90 / $1,378.68 / $1,689.56	Professional		$1,148.90	$1,378.68	$1,689.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $335.09 / $1,310.25 / $2,292.91	Facility		$335.09	$1,310.25	$2,292.91
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $960.83 / $2,823.51 / $4,643.60	Facility	50	$960.83	$2,823.51	$4,643.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,482.00 / $1,703.00 / $2,761.00	Professional		$1,482.00	$1,703.00	$2,761.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $290.92 / $406.21 / $1,207.96	Facility		$290.92	$406.21	$1,207.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,317.83 / $1,877.15 / $2,949.47	Professional		$1,317.83	$1,877.15	$2,949.47
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.07 / $1,821.69 / $2,731.32	Professional		$1,152.07	$1,821.69	$2,731.32