Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $8,912.51	Facility		$562.34	$3,467.37	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,511.89 / $8,128.31 / $17,378.01	Facility	50	$2,511.89	$8,128.31	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,318.26	Professional		$389.05	$562.34	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $933.25 / $1,318.26 / $1,905.46	Professional	50	$933.25	$1,318.26	$1,905.46
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 $426.58 / $630.96 / $1,096.48	Professional		$426.58	$630.96	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $954.99 / $1,659.59	Professional	50	$645.65	$954.99	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $3,548.13	Professional		$446.68	$645.65	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $1,000.00	Professional		$407.38	$524.81	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $707.95	Professional		$467.74	$602.56	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,023.29	Professional		$512.86	$645.65	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $562.34 / $870.96	Facility		$416.87	$562.34	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $6,918.31	Facility		$380.19	$549.54	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $6,918.31	Professional		$389.05	$549.54	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,918.31 / $13,803.84	Facility		$3,548.13	$6,918.31	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $870.96	Professional		$316.23	$489.78	$870.96