Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.45 / $3,136.61 / $8,294.00	Facility		$340.45	$3,136.61	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,286.50 / $6,286.50 / $6,286.50	Facility	50	$6,286.50	$6,286.50	$6,286.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.61 / $1,204.63 / $2,475.06	Professional		$316.61	$1,204.63	$2,475.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $722.43 / $1,395.87	Professional		$263.95	$722.43	$1,395.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $395.92 / $1,083.65 / $2,093.80	Professional	50	$395.92	$1,083.65	$2,093.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $337.93 / $407.32 / $5,354.00	Professional		$337.93	$407.32	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.63 / $992.75 / $2,656.12	Professional		$313.63	$992.75	$2,656.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $968.53 / $1,162.24 / $1,444.76	Professional		$968.53	$1,162.24	$1,444.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $335.61 / $1,053.52 / $2,781.50	Facility		$335.61	$1,053.52	$2,781.50
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $728.08 / $2,817.59 / $5,469.10	Facility	50	$728.08	$2,817.59	$5,469.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,871.00 / $2,202.00 / $3,281.00	Professional		$1,871.00	$2,202.00	$3,281.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $293.70 / $459.24 / $7,420.00	Facility		$293.70	$459.24	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,312.53 / $2,174.12 / $7,420.00	Professional		$1,312.53	$2,174.12	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,246.00 / $17,187.00	Facility		$5,121.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.55 / $2,177.92 / $3,207.05	Professional		$1,263.55	$2,177.92	$3,207.05