Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $6,980.76 / $20,117.80	Facility		$1,538.00	$6,980.76	$20,117.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,423.50 / $8,613.77 / $20,549.00	Facility	50	$4,423.50	$8,613.77	$20,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.69 / $511.68 / $937.11	Professional		$383.69	$511.68	$937.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.50 / $515.62 / $734.34	Professional		$398.50	$515.62	$734.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $456.47 / $466.18 / $917.50	Professional		$456.47	$466.18	$917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.18 / $988.00 / $3,218.20	Facility		$493.18	$988.00	$3,218.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.91 / $48.91 / $48.91	Facility	AS	$48.91	$48.91	$48.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.76 / $533.72 / $978.91	Professional		$412.76	$533.72	$978.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.70 / $515.88 / $709.12	Professional		$412.70	$515.88	$709.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $447.10 / $558.00 / $850.26	Facility		$447.10	$558.00	$850.26
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $768.00 / $837.00 / $1,275.39	Facility	50	$768.00	$837.00	$1,275.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $102.40 / $111.60 / $170.05	Facility	80	$102.40	$111.60	$170.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $71.68 / $78.12 / $119.04	Facility	AS	$71.68	$78.12	$119.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.44 / $605.00 / $1,011.07	Professional		$518.44	$605.00	$1,011.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $420.72 / $522.54 / $1,015.89	Facility		$420.72	$522.54	$1,015.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $420.72 / $522.54 / $1,015.89	Professional		$420.72	$522.54	$1,015.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $12,407.00 / $26,244.00	Facility		$2,020.00	$12,407.00	$26,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.45 / $497.78 / $842.97	Professional		$336.45	$497.78	$842.97