Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,290.87 / $7,244.36	Facility		$323.59	$2,290.87	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	50	$6,025.60	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $977.24 / $2,137.96	Professional		$239.88	$977.24	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $912.01 / $2,041.74	Professional		$245.47	$912.01	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $933.25	Professional		$223.87	$302.00	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $588.84 / $2,290.87	Professional		$257.04	$588.84	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,819.70	Professional		$1,174.90	$1,412.54	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $2,089.30 / $3,235.94	Professional		$371.54	$2,089.30	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $776.25 / $2,398.83	Facility		$269.15	$776.25	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $323.59 / $1,479.11	Facility		$229.09	$323.59	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $3,630.78	Professional		$1,047.13	$1,621.81	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,398.83	Facility		$229.09	$1,202.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $707.95 / $2,398.83	Professional		$223.87	$707.95	$2,398.83