Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,754.23 / $9,120.11	Facility		$446.68	$2,754.23	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $354.81 / $891.25 / $10,000.00	Facility	50	$354.81	$891.25	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $645.65 / $3,019.95	Professional		$288.40	$645.65	$3,019.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $426.58 / $676.08 / $4,570.88	Professional	50	$426.58	$676.08	$4,570.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,096.48 / $2,454.71	Professional		$309.03	$1,096.48	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $1,659.59 / $3,548.13	Professional	50	$467.74	$1,659.59	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $933.25	Professional		$288.40	$398.11	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $758.58 / $2,818.38	Professional		$331.13	$758.58	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,089.30	Professional		$1,318.26	$1,621.81	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $3,162.28 / $3,630.78	Professional		$489.78	$3,162.28	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,023.29 / $3,162.28	Facility		$346.74	$1,023.29	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $426.58 / $1,479.11	Facility		$288.40	$426.58	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $4,168.69	Professional		$1,174.90	$1,995.26	$4,168.69
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 $288.40 / $891.25 / $3,162.28	Professional		$288.40	$891.25	$3,162.28