Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,584.89 / $6,309.57	Facility		$169.82	$1,584.89	$6,309.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $3,801.89 / $6,165.95	Facility	50	$2,089.30	$3,801.89	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $398.11 / $870.96	Professional		$100.00	$398.11	$870.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $794.33 / $1,584.89	Professional	50	$323.59	$794.33	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $380.19 / $933.25	Professional		$104.71	$380.19	$933.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $562.34 / $1,412.54	Professional	50	$154.88	$562.34	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $954.99	Professional		$104.71	$162.18	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $309.03 / $954.99	Professional		$109.65	$309.03	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $660.69 / $812.83	Professional		$85.11	$660.69	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $489.78 / $1,000.00	Facility		$104.71	$489.78	$1,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $3,311.31	Facility		$93.33	$138.04	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $3,311.31	Professional		$467.74	$741.31	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $4,466.84	Facility		$1,122.02	$2,290.87	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $295.12 / $933.25	Professional		$93.33	$295.12	$933.25