Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.71 / $2,670.00 / $8,294.00	Facility		$393.71	$2,670.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,617.16 / $2,617.16 / $2,617.16	Facility	50	$2,617.16	$2,617.16	$2,617.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $635.80 / $1,450.92	Professional		$276.89	$635.80	$1,450.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $654.16 / $1,281.28	Professional		$246.52	$654.16	$1,281.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $368.82 / $981.24 / $1,835.95	Professional	50	$368.82	$981.24	$1,835.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.91 / $293.66 / $778.00	Professional		$282.91	$293.66	$778.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $424.16	Facility		$424.16	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.17 / $609.78 / $1,726.04	Professional		$284.17	$609.78	$1,726.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.38 / $912.45 / $1,118.20	Professional		$760.38	$912.45	$1,118.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $297.97 / $644.72 / $1,694.72	Facility		$297.97	$644.72	$1,694.72
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $655.50 / $1,101.42 / $3,191.05	Facility	50	$655.50	$1,101.42	$3,191.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,013.00 / $1,318.11 / $1,992.00	Professional		$1,013.00	$1,318.11	$1,992.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $259.05 / $371.69 / $609.85	Facility		$259.05	$371.69	$609.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $787.14 / $1,314.96 / $1,967.88	Professional		$787.14	$1,314.96	$1,967.88
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 $745.12 / $1,276.75 / $1,991.85	Professional		$745.12	$1,276.75	$1,991.85