Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.58 / $2,705.00 / $8,294.00	Facility		$286.58	$2,705.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,042.00 / $6,042.00 / $6,042.00	Facility	50	$6,042.00	$6,042.00	$6,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.85 / $975.03 / $2,172.79	Professional		$249.85	$975.03	$2,172.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.82 / $943.39 / $1,793.20	Professional		$229.82	$943.39	$1,793.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $691.00	Professional		$233.13	$233.13	$691.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $397.55	Facility		$397.55	$397.55	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $602.66 / $2,293.29	Professional		$262.39	$602.66	$2,293.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.39 / $1,369.67 / $1,678.51	Professional		$1,141.39	$1,369.67	$1,678.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $277.61 / $578.85 / $2,339.36	Facility		$277.61	$578.85	$2,339.36
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $586.50 / $1,045.28 / $5,012.00	Facility	50	$586.50	$1,045.28	$5,012.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,469.62 / $1,842.00 / $2,470.00	Professional		$1,469.62	$1,842.00	$2,470.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $235.69 / $334.90 / $570.38	Facility		$235.69	$334.90	$570.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $982.00 / $1,715.24 / $2,997.98	Professional		$982.00	$1,715.24	$2,997.98
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,094.07 / $1,840.83 / $2,961.12	Professional		$1,094.07	$1,840.83	$2,961.12