Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $6,309.57 / $12,589.25	Facility		$954.99	$6,309.57	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $6,760.83 / $17,782.79	Facility	50	$4,786.30	$6,760.83	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,819.70	Professional		$489.78	$758.58	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,047.13	Professional		$501.19	$676.08	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $5,011.87	Professional		$489.78	$562.34	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,698.24 / $2,238.72	Facility		$602.56	$1,698.24	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,023.29	Professional		$426.58	$616.60	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $977.24	Professional		$489.78	$588.84	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $851.14	Professional		$645.65	$691.83	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,047.13	Facility		$512.86	$691.83	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,047.13	Professional		$549.54	$549.54	$1,047.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $616.60 / $2,290.87	Facility		$501.19	$616.60	$2,290.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $2,290.87	Professional		$501.19	$616.60	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $8,317.64 / $17,378.01	Facility		$1,318.26	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,023.29	Professional		$407.38	$588.84	$1,023.29