Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.13 / $7,742.01 / $15,165.00	Facility		$811.13	$7,742.01	$15,165.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,467.36 / $6,467.36 / $6,467.36	Facility	50	$6,467.36	$6,467.36	$6,467.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.25 / $822.93 / $1,378.92	Professional		$610.25	$822.93	$1,378.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.80 / $754.94 / $1,114.32	Professional		$564.80	$754.94	$1,114.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $634.03 / $912.50 / $6,694.00	Professional		$634.03	$912.50	$6,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.74 / $898.94 / $1,552.08	Professional		$604.74	$898.94	$1,552.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.35 / $842.82 / $1,039.48	Professional		$702.35	$842.82	$1,039.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.08 / $887.81 / $1,390.75	Facility		$645.08	$887.81	$1,390.75
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,516.70 / $1,839.45 / $2,206.56	Facility	50	$1,516.70	$1,839.45	$2,206.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $899.00 / $1,159.00 / $1,583.00	Professional		$899.00	$1,159.00	$1,583.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $586.41 / $767.07 / $3,699.00	Facility		$586.41	$767.07	$3,699.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $753.26 / $1,041.50 / $3,699.00	Professional		$753.26	$1,041.50	$3,699.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.22 / $1,086.52 / $1,612.31	Professional		$643.22	$1,086.52	$1,612.31