Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.83 / $2,998.00 / $7,275.00	Facility		$260.83	$2,998.00	$7,275.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,814.20 / $18,411.24 / $18,411.24	Facility	50	$3,814.20	$18,411.24	$18,411.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.22 / $336.50 / $563.53	Professional		$208.22	$336.50	$563.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.73 / $291.13 / $424.45	Professional		$194.73	$291.13	$424.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $292.10 / $436.70 / $636.67	Professional	50	$292.10	$436.70	$636.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $228.72 / $308.77 / $3,426.00	Professional		$228.72	$308.77	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.53 / $336.50 / $541.05	Professional		$212.53	$336.50	$541.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.91 / $346.69 / $427.59	Professional		$288.91	$346.69	$427.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.91 / $368.77 / $566.09	Facility		$245.91	$368.77	$566.09
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $540.87 / $627.55 / $915.16	Facility	50	$540.87	$627.55	$915.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $383.00 / $432.28 / $577.00	Professional		$383.00	$432.28	$577.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $202.07 / $274.87 / $3,123.00	Facility		$202.07	$274.87	$3,123.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $297.75 / $395.85 / $3,123.00	Professional		$297.75	$395.85	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,827.00 / $5,764.00	Facility		$1,629.00	$2,827.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $411.20 / $695.12	Professional		$270.39	$411.20	$695.12