Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.25 / $4,364.21 / $8,003.00	Facility		$550.25	$4,364.21	$8,003.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,781.25 / $6,781.25 / $7,270.18	Facility	50	$6,781.25	$6,781.25	$7,270.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.59 / $579.88 / $1,101.63	Professional		$372.59	$579.88	$1,101.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $167.82 / $253.00 / $361.67	Professional	52	$167.82	$253.00	$361.67
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 $254.33 / $391.61 / $570.95	Professional		$254.33	$391.61	$570.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $381.50 / $587.41 / $856.42	Professional	50	$381.50	$587.41	$856.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $312.74 / $376.96 / $3,426.00	Professional		$312.74	$376.96	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.61 / $570.09 / $854.85	Professional		$330.61	$570.09	$854.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.05 / $463.26 / $571.35	Professional		$386.05	$463.26	$571.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $353.21 / $621.79 / $953.49	Facility		$353.21	$621.79	$953.49
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $709.86 / $1,184.49 / $1,912.09	Facility	50	$709.86	$1,184.49	$1,912.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $614.28 / $809.00 / $1,147.00	Professional		$614.28	$809.00	$1,147.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $556.22 / $7,420.00	Facility		$307.58	$556.22	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $453.64 / $732.92 / $7,420.00	Professional		$453.64	$732.92	$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 $398.24 / $632.00 / $992.95	Professional		$398.24	$632.00	$992.95