Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.15 / $3,633.00 / $8,920.00	Facility		$584.15	$3,633.00	$8,920.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,736.25 / $1,736.25 / $3,469.00	Facility	50	$1,736.25	$1,736.25	$3,469.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.08 / $559.20 / $954.27	Professional		$417.08	$559.20	$954.27
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 $414.29 / $553.77 / $814.71	Professional		$414.29	$553.77	$814.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $444.45 / $649.48 / $5,895.00	Professional		$444.45	$649.48	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.03 / $622.79 / $1,138.89	Professional		$439.03	$622.79	$1,138.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.57 / $599.48 / $739.36	Professional		$499.57	$599.48	$739.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $471.97 / $624.92 / $901.24	Facility		$471.97	$624.92	$901.24
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $690.15 / $1,152.98 / $1,548.11	Facility	50	$690.15	$1,152.98	$1,548.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $635.51 / $730.00 / $1,028.00	Professional		$635.51	$730.00	$1,028.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $408.17 / $549.90 / $3,512.00	Facility		$408.17	$549.90	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $483.26 / $676.60 / $3,512.00	Professional		$483.26	$676.60	$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 $430.62 / $653.04 / $1,080.31	Professional		$430.62	$653.04	$1,080.31