Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.09 / $4,796.00 / $9,347.59	Facility		$596.09	$4,796.00	$9,347.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,631.00 / $5,631.00 / $5,631.00	Facility	50	$5,631.00	$5,631.00	$5,631.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.81 / $402.47 / $724.84	Professional		$369.81	$402.47	$724.84
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 $320.54 / $409.90 / $562.16	Professional		$320.54	$409.90	$562.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $381.90 / $552.95 / $5,895.00	Professional		$381.90	$552.95	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.12 / $488.00 / $881.03	Professional		$360.12	$488.00	$881.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.38 / $398.86 / $491.92	Professional		$332.38	$398.86	$491.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $375.12 / $493.94 / $725.77	Facility		$375.12	$493.94	$725.77
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $760.40 / $934.01 / $2,099.34	Facility	50	$760.40	$934.01	$2,099.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $514.00 / $814.63	Professional		$446.00	$514.00	$814.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $365.53 / $484.88 / $4,071.00	Facility		$365.53	$484.88	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $365.53 / $484.88 / $4,071.00	Professional		$365.53	$484.88	$4,071.00
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 $307.87 / $512.41 / $783.66	Professional		$307.87	$512.41	$783.66