Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.81 / $1,938.00 / $9,539.00	Facility		$118.81	$1,938.00	$9,539.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,556.65 / $1,556.65 / $1,556.65	Facility	50	$1,556.65	$1,556.65	$1,556.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $156.27 / $320.32	Professional		$105.52	$156.27	$320.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $377.94 / $381.27 / $390.00	Professional	50	$377.94	$381.27	$390.00
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 $109.40 / $139.91 / $233.56	Professional		$109.40	$139.91	$233.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $164.11 / $209.86 / $350.34	Professional	50	$164.11	$209.86	$350.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.58 / $150.34 / $1,757.00	Professional		$125.58	$150.34	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $203.89 / $420.00	Facility		$203.89	$203.89	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $226.00 / $412.85	Professional		$118.09	$226.00	$412.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.72 / $306.27 / $361.97	Professional		$236.72	$306.27	$361.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.80 / $186.58 / $376.44	Facility		$110.80	$186.58	$376.44
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $338.91 / $489.24 / $1,031.75	Facility	50	$338.91	$489.24	$1,031.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $314.48 / $432.02	Professional		$163.00	$314.48	$432.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $119.50 / $194.91 / $1,154.35	Facility		$119.50	$194.91	$1,154.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.90 / $315.56 / $1,171.00	Professional		$199.90	$315.56	$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 $186.70 / $277.43 / $469.94	Professional		$186.70	$277.43	$469.94