Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.12 / $3,543.95 / $8,294.00	Facility		$406.12	$3,543.95	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,508.50 / $3,257.50 / $4,635.49	Facility	50	$2,508.50	$3,257.50	$4,635.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.16 / $1,098.23 / $2,434.62	Professional		$317.16	$1,098.23	$2,434.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $548.25 / $617.05 / $913.48	Professional	50	$548.25	$617.05	$913.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.44 / $1,316.36 / $2,443.16	Professional		$320.44	$1,316.36	$2,443.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $480.66 / $1,974.54 / $3,657.40	Professional	50	$480.66	$1,974.54	$3,657.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $312.42 / $312.42 / $1,030.42	Professional		$312.42	$312.42	$1,030.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $558.72 / $558.72	Facility		$558.72	$558.72	$558.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.83 / $862.36 / $2,928.37	Professional		$347.83	$862.36	$2,928.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,600.18 / $1,920.22 / $2,353.21	Professional		$1,600.18	$1,920.22	$2,353.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $374.14 / $1,638.92 / $2,833.00	Facility		$374.14	$1,638.92	$2,833.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,038.83 / $3,088.91 / $6,011.80	Facility	50	$1,038.83	$3,088.91	$6,011.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,819.00 / $2,133.00 / $3,071.00	Professional		$1,819.00	$2,133.00	$3,071.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $326.02 / $441.37 / $1,353.74	Facility		$326.02	$441.37	$1,353.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,648.56 / $2,201.04 / $3,786.35	Professional		$1,648.56	$2,201.04	$3,786.35
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,397.00 / $26,537.00	Facility		$8,367.00	$13,397.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,483.23 / $2,108.01 / $3,422.20	Professional		$1,483.23	$2,108.01	$3,422.20