Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.62 / $2,478.08 / $8,368.00	Facility		$357.62	$2,478.08	$8,368.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $906.61 / $906.61 / $906.61	Facility	50	$906.61	$906.61	$906.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.48 / $357.63 / $607.97	Professional		$250.48	$357.63	$607.97
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 $253.58 / $339.06 / $500.30	Professional		$253.58	$339.06	$500.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $390.73 / $5,895.00	Professional		$273.39	$390.73	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.55 / $384.46 / $694.11	Professional		$271.55	$384.46	$694.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.80 / $381.36 / $470.34	Professional		$317.80	$381.36	$470.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $287.10 / $385.29 / $589.87	Facility		$287.10	$385.29	$589.87
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $544.10 / $716.98 / $984.80	Facility	50	$544.10	$716.98	$984.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $393.49 / $461.00 / $656.00	Professional		$393.49	$461.00	$656.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $329.79 / $3,512.00	Facility		$243.19	$329.79	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $309.30 / $427.33 / $3,512.00	Professional		$309.30	$427.33	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.76 / $415.54 / $727.32	Professional		$275.76	$415.54	$727.32