Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $1,140.23 / $8,294.00	Facility		$61.28	$1,140.23	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,057.00 / $1,225.29 / $7,838.00	Facility	50	$1,057.00	$1,225.29	$7,838.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $262.85 / $565.41	Professional		$55.43	$262.85	$565.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $211.31 / $555.92	Professional		$51.48	$211.31	$555.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $82.27 / $2,315.00	Professional		$56.72	$82.27	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $153.02 / $708.20	Professional		$59.00	$153.02	$708.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.26 / $450.31 / $562.59	Professional		$375.26	$450.31	$562.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $371.25 / $695.71	Facility		$61.28	$371.25	$695.71
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $141.90 / $755.04 / $1,088.80	Facility	50	$141.90	$755.04	$1,088.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $431.00 / $722.00	Professional		$366.00	$431.00	$722.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.51 / $73.95 / $1,428.00	Facility		$55.51	$73.95	$1,428.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $340.94 / $532.34 / $1,428.00	Professional		$340.94	$532.34	$1,428.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,870.00 / $3,880.00	Facility		$1,066.00	$1,870.00	$3,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.64 / $509.63 / $814.75	Professional		$308.64	$509.63	$814.75