Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,341.68 / $11,089.60 / $21,619.71	Facility		$4,341.68	$11,089.60	$21,619.71
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,370.00 / $4,370.00 / $4,370.00	Facility	22	$4,370.00	$4,370.00	$4,370.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,266.00 / $11,872.00 / $22,721.13	Facility	50	$7,266.00	$11,872.00	$22,721.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.44 / $472.70 / $877.52	Professional		$429.44	$472.70	$877.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.16 / $481.03 / $659.73	Professional		$376.16	$481.03	$659.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $447.81 / $648.94 / $7,369.00	Professional		$447.81	$648.94	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.88 / $577.83 / $1,032.01	Professional		$413.88	$577.83	$1,032.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.61 / $467.53 / $576.62	Professional		$389.61	$467.53	$576.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $433.11 / $565.67 / $772.22	Facility		$433.11	$565.67	$772.22
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $858.53 / $969.14 / $1,278.92	Facility	50	$858.53	$969.14	$1,278.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.00 / $575.33 / $1,023.00	Professional		$524.00	$575.33	$1,023.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $427.81 / $562.09 / $6,585.00	Facility		$427.81	$562.09	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $427.81 / $562.09 / $6,585.00	Professional		$427.81	$562.09	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.04 / $570.46 / $893.01	Professional		$349.04	$570.46	$893.01