Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.42 / $2,064.67 / $6,827.70	Facility		$388.42	$2,064.67	$6,827.70
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,671.36 / $3,843.88 / $8,132.60	Facility	50	$2,671.36	$3,843.88	$8,132.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.90 / $407.69 / $718.92	Professional		$205.90	$407.69	$718.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $313.45 / $613.29 / $884.83	Professional	50	$313.45	$613.29	$884.83
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 $179.42 / $225.98 / $377.25	Professional		$179.42	$225.98	$377.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $265.07 / $338.97 / $565.87	Professional	50	$265.07	$338.97	$565.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $243.84 / $2,635.00	Professional		$202.33	$243.84	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.10 / $326.10 / $640.00	Facility		$326.10	$326.10	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.07 / $413.56 / $725.55	Professional		$216.07	$413.56	$725.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.56 / $535.16 / $632.48	Professional		$413.56	$535.16	$632.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.21 / $453.55 / $736.98	Facility		$245.21	$453.55	$736.98
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $687.46 / $879.80 / $1,732.09	Facility	50	$687.46	$879.80	$1,732.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $472.00 / $579.75 / $824.00	Professional		$472.00	$579.75	$824.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $214.46 / $293.47 / $1,291.00	Facility		$214.46	$293.47	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $426.91 / $567.00 / $1,790.93	Professional		$426.91	$567.00	$1,790.93
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 $338.00 / $549.08 / $871.16	Professional		$338.00	$549.08	$871.16