Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.61 / $1,719.00 / $6,827.70	Facility		$269.61	$1,719.00	$6,827.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,445.00 / $2,445.00 / $2,445.00	Facility	50	$2,445.00	$2,445.00	$2,445.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $240.42 / $394.84	Professional		$120.15	$240.42	$394.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $380.09 / $380.09 / $419.21	Professional	50	$380.09	$380.09	$419.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.95 / $152.88 / $252.75	Professional		$116.95	$152.88	$252.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $177.23 / $229.32 / $379.13	Professional	50	$177.23	$229.32	$379.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.53 / $148.56 / $2,012.00	Professional		$143.53	$148.56	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.83 / $221.83 / $420.00	Facility		$221.83	$221.83	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.31 / $254.54 / $460.96	Professional		$132.31	$254.54	$460.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $324.73 / $383.77	Professional		$251.86	$324.73	$383.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $261.79 / $472.44	Facility		$137.97	$261.79	$472.44
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $466.92 / $630.76 / $1,064.26	Facility	50	$466.92	$630.76	$1,064.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $366.51 / $512.00	Professional		$290.00	$366.51	$512.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.97 / $173.13 / $1,171.00	Facility		$124.97	$173.13	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $256.75 / $356.28 / $1,171.00	Professional		$256.75	$356.28	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.99 / $338.62 / $546.27	Professional		$198.99	$338.62	$546.27