Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.18 / $4,779.56 / $10,767.00	Facility		$727.18	$4,779.56	$10,767.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,833.38 / $6,136.44 / $15,356.63	Facility	50	$3,833.38	$6,136.44	$15,356.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.71 / $1,244.00 / $3,006.52	Professional		$374.71	$1,244.00	$3,006.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $280.32 / $685.24 / $2,194.54	Professional	50	$280.32	$685.24	$2,194.54
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 $358.38 / $1,547.56 / $2,933.48	Professional		$358.38	$1,547.56	$2,933.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $536.48 / $2,321.34 / $4,400.22	Professional	50	$536.48	$2,321.34	$4,400.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $343.17 / $343.17 / $891.64	Professional		$343.17	$343.17	$891.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.26 / $965.16 / $3,436.06	Professional		$381.26	$965.16	$3,436.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,902.95 / $2,283.55 / $2,798.46	Professional		$1,902.95	$2,283.55	$2,798.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $420.59 / $2,005.19 / $3,466.11	Facility		$420.59	$2,005.19	$3,466.11
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,134.53 / $3,420.69 / $7,180.36	Facility	50	$1,134.53	$3,420.69	$7,180.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,196.00 / $2,471.92 / $3,696.00	Professional		$2,196.00	$2,471.92	$3,696.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $361.90 / $491.90 / $1,515.14	Facility		$361.90	$491.90	$1,515.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,919.71 / $2,506.19 / $4,622.84	Professional		$1,919.71	$2,506.19	$4,622.84
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 $1,691.26 / $2,564.27 / $4,198.31	Professional		$1,691.26	$2,564.27	$4,198.31