Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.97 / $3,686.00 / $8,294.00	Facility		$339.97	$3,686.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.89 / $970.49 / $1,569.02	Professional		$314.89	$970.49	$1,569.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,804.48 / $2,804.48 / $2,804.48	Professional	50	$2,804.48	$2,804.48	$2,804.48
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 $264.11 / $722.43 / $1,274.82	Professional		$264.11	$722.43	$1,274.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $396.17 / $1,083.65 / $1,912.23	Professional	50	$396.17	$1,083.65	$1,912.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $340.51 / $440.73 / $4,284.00	Professional		$340.51	$440.73	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.18 / $915.38 / $2,423.00	Professional		$314.18	$915.38	$2,423.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.05 / $1,071.66 / $1,329.65	Professional		$893.05	$1,071.66	$1,329.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $333.79 / $971.17 / $2,222.19	Facility		$333.79	$971.17	$2,222.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,481.00 / $1,737.00 / $2,794.00	Professional		$1,481.00	$1,737.00	$2,794.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $293.75 / $459.24 / $7,420.00	Facility		$293.75	$459.24	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,183.52 / $1,839.28 / $7,420.00	Professional		$1,183.52	$1,839.28	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.92 / $1,880.52 / $2,877.40	Professional		$976.92	$1,880.52	$2,877.40