Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.77 / $3,309.00 / $7,275.00	Facility		$643.77	$3,309.00	$7,275.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,821.50 / $2,821.50 / $2,821.50	Facility	50	$2,821.50	$2,821.50	$2,821.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.33 / $1,057.93 / $2,356.85	Professional		$310.33	$1,057.93	$2,356.85
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 $318.45 / $1,250.31 / $2,347.35	Professional		$318.45	$1,250.31	$2,347.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $476.71 / $1,875.47 / $3,473.90	Professional	50	$476.71	$1,875.47	$3,473.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $314.64 / $891.64	Professional		$314.64	$314.64	$891.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.22 / $859.27 / $2,787.03	Professional		$346.22	$859.27	$2,787.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,517.90 / $1,821.49 / $2,232.21	Professional		$1,517.90	$1,821.49	$2,232.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $373.23 / $1,578.76 / $2,729.00	Facility		$373.23	$1,578.76	$2,729.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,034.76 / $3,066.54 / $5,710.53	Facility	50	$1,034.76	$3,066.54	$5,710.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,750.00 / $2,053.00 / $3,048.00	Professional		$1,750.00	$2,053.00	$3,048.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $324.86 / $439.53 / $1,348.88	Facility		$324.86	$439.53	$1,348.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,564.19 / $2,132.13 / $3,629.93	Professional		$1,564.19	$2,132.13	$3,629.93
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 $1,421.15 / $2,127.53 / $3,293.05	Professional		$1,421.15	$2,127.53	$3,293.05