Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.02 / $1,328.39 / $5,743.00	Facility		$325.02	$1,328.39	$5,743.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,486.16 / $2,953.84 / $4,720.08	Facility	50	$1,486.16	$2,953.84	$4,720.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.60 / $410.04 / $610.75	Professional		$208.60	$410.04	$610.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $476.91 / $600.67 / $624.27	Professional	50	$476.91	$600.67	$624.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.11 / $225.58 / $376.58	Professional		$179.11	$225.58	$376.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $264.60 / $338.37 / $564.87	Professional	50	$264.60	$338.37	$564.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $201.95 / $248.96 / $2,635.00	Professional		$201.95	$248.96	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $326.12 / $640.00	Facility		$326.12	$326.12	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.85 / $415.30 / $738.13	Professional		$218.85	$415.30	$738.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.99 / $530.50 / $626.95	Professional		$409.99	$530.50	$626.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $244.74 / $453.48 / $743.42	Facility		$244.74	$453.48	$743.42
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $687.12 / $895.17 / $1,750.92	Facility	50	$687.12	$895.17	$1,750.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $590.30 / $818.00	Professional		$480.00	$590.30	$818.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $214.98 / $296.39 / $1,291.00	Facility		$214.98	$296.39	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $427.03 / $574.86 / $1,810.44	Professional		$427.03	$574.86	$1,810.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.68 / $555.03 / $829.08	Professional		$341.68	$555.03	$829.08