Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,995.26 / $5,495.41	Facility		$331.13	$1,995.26	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $4,168.69 / $8,128.31	Facility	50	$2,691.53	$4,168.69	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $426.58 / $1,122.02	Professional		$190.55	$426.58	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $645.65 / $2,754.23	Professional	50	$288.40	$645.65	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $467.74	Professional		$190.55	$281.84	$467.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $416.87 / $707.95	Professional	50	$288.40	$416.87	$707.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $3,467.37	Professional		$177.83	$257.04	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $724.44	Professional		$213.80	$407.38	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $691.83	Professional		$457.09	$588.84	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $426.58 / $724.44	Facility		$199.53	$426.58	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $6,918.31	Facility		$194.98	$295.12	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $6,918.31	Professional		$426.58	$562.34	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,079.46 / $13,803.84	Facility		$3,630.78	$7,079.46	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $758.58	Professional		$194.98	$389.05	$758.58