Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $4,390.00 / $13,099.98	Facility		$620.84	$4,390.00	$13,099.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.24 / $696.33 / $1,277.34	Professional		$303.24	$696.33	$1,277.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,322.69 / $2,322.69 / $2,322.69	Professional	50	$2,322.69	$2,322.69	$2,322.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49,208.00 / $62,509.00 / $67,760.00	Facility		$49,208.00	$62,509.00	$67,760.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.70 / $356.06 / $594.40	Professional		$282.70	$356.06	$594.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $417.65 / $534.09 / $891.60	Professional	50	$417.65	$534.09	$891.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $317.73 / $433.99 / $5,113.00	Professional		$317.73	$433.99	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $515.84 / $640.00	Facility		$515.84	$515.84	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.24 / $735.19 / $1,584.99	Professional		$334.24	$735.19	$1,584.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.01 / $881.31 / $1,041.55	Professional		$681.01	$881.31	$1,041.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $321.43 / $697.57 / $1,498.42	Facility		$321.43	$697.57	$1,498.42
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,076.34 / $1,942.79 / $3,226.82	Facility	50	$1,076.34	$1,942.79	$3,226.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,019.00 / $1,179.00 / $1,775.00	Professional		$1,019.00	$1,179.00	$1,775.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $306.55 / $488.17 / $1,464.36	Facility		$306.55	$488.17	$1,464.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $775.66 / $1,193.97 / $3,442.00	Professional		$775.66	$1,193.97	$3,442.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $34,314.00	Facility		$7,408.00	$13,296.00	$34,314.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.10 / $1,107.23 / $1,999.27	Professional		$604.10	$1,107.23	$1,999.27