Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.75 / $2,705.00 / $8,900.00	Facility		$512.75	$2,705.00	$8,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,254.25 / $3,051.96 / $12,235.00	Facility	50	$1,254.25	$3,051.96	$12,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.08 / $492.91 / $817.55	Professional		$391.08	$492.91	$817.55
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 $409.97 / $524.26 / $766.78	Professional		$409.97	$524.26	$766.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $474.17 / $669.01 / $5,895.00	Professional		$474.17	$669.01	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.91 / $576.63 / $1,088.09	Professional		$429.91	$576.63	$1,088.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.43 / $503.32 / $620.76	Professional		$419.43	$503.32	$620.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $459.30 / $582.53 / $833.02	Facility		$459.30	$582.53	$833.02
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $711.02 / $941.86 / $1,298.04	Facility	50	$711.02	$941.86	$1,298.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $520.01 / $615.00 / $1,028.47	Professional		$520.01	$615.00	$1,028.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $405.66 / $559.32 / $3,512.00	Facility		$405.66	$559.32	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $405.66 / $559.32 / $3,512.00	Professional		$405.66	$559.32	$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 $361.18 / $571.08 / $952.60	Professional		$361.18	$571.08	$952.60