Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.33 / $3,116.00 / $8,920.00	Facility		$299.33	$3,116.00	$8,920.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,893.75 / $2,893.75 / $2,893.75	Facility	50	$2,893.75	$2,893.75	$2,893.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $538.78 / $751.63	Professional		$274.89	$538.78	$751.63
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 $256.08 / $506.62 / $820.70	Professional		$256.08	$506.62	$820.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $284.11 / $411.58 / $5,895.00	Professional		$284.11	$411.58	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.76 / $561.79 / $1,456.40	Professional		$293.76	$561.79	$1,456.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.10 / $657.72 / $811.19	Professional		$548.10	$657.72	$811.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $299.33 / $594.36 / $1,128.00	Facility		$299.33	$594.36	$1,128.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $694.57 / $1,540.30 / $1,654.76	Facility	50	$694.57	$1,540.30	$1,654.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $813.00 / $1,326.00	Professional		$613.00	$813.00	$1,326.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $271.62 / $360.79 / $3,512.00	Facility		$271.62	$360.79	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $550.19 / $898.08 / $3,512.00	Professional		$550.19	$898.08	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.88 / $831.04 / $2,159.42	Professional		$503.88	$831.04	$2,159.42