Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.44 / $1,938.00 / $8,294.00	Facility		$178.44	$1,938.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.98 / $2,690.89 / $4,045.11	Facility	50	$2,137.98	$2,690.89	$4,045.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $396.32 / $870.16	Professional		$104.97	$396.32	$870.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $321.06 / $321.06 / $321.06	Professional	50	$321.06	$321.06	$321.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $304.33 / $800.68	Professional		$96.36	$304.33	$800.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $456.50 / $1,201.03	Professional	50	$144.54	$456.50	$1,201.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $164.13 / $916.00	Professional		$107.26	$164.13	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $291.83 / $1,030.39	Professional		$111.22	$291.83	$1,030.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.60 / $652.41 / $804.65	Professional		$455.60	$652.41	$804.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.87 / $543.67 / $935.05	Facility		$113.87	$543.67	$935.05
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $263.77 / $946.74 / $1,574.65	Facility	50	$263.77	$946.74	$1,574.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.70 / $658.01 / $1,147.00	Professional		$228.70	$658.01	$1,147.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.66 / $137.38 / $1,428.00	Facility		$105.66	$137.38	$1,428.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $539.53 / $709.75 / $1,636.86	Professional		$539.53	$709.75	$1,636.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.82 / $721.28 / $1,209.92	Professional		$462.82	$721.28	$1,209.92