Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.82 / $3,645.00 / $9,539.00	Facility		$579.82	$3,645.00	$9,539.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,930.00 / $8,040.52 / $17,453.97	Facility	50	$3,930.00	$8,040.52	$17,453.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.88 / $486.31 / $901.19	Professional		$391.88	$486.31	$901.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,320.67 / $1,320.67 / $1,397.64	Professional	50	$1,320.67	$1,320.67	$1,397.64
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 $405.74 / $525.44 / $868.70	Professional		$405.74	$525.44	$868.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $602.94 / $788.16 / $1,303.06	Professional	50	$602.94	$788.16	$1,303.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $473.24 / $506.09 / $3,019.00	Professional		$473.24	$506.09	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $742.64	Facility		$572.00	$572.00	$742.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.00 / $557.45 / $1,037.21	Professional		$411.00	$557.45	$1,037.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.25 / $557.17 / $658.49	Professional		$432.25	$557.17	$658.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $454.72 / $565.84 / $842.02	Facility		$454.72	$565.84	$842.02
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $761.84 / $1,183.07 / $1,957.43	Facility	50	$761.84	$1,183.07	$1,957.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $533.00 / $605.00 / $841.00	Professional		$533.00	$605.00	$841.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $418.12 / $559.15 / $1,869.28	Facility		$418.12	$559.15	$1,869.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $420.90 / $564.51 / $1,895.06	Professional		$420.90	$564.51	$1,895.06
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 $326.04 / $536.47 / $825.27	Professional		$326.04	$536.47	$825.27