Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.01 / $3,226.00 / $14,187.00	Facility		$295.01	$3,226.00	$14,187.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,117.26 / $14,069.48 / $14,069.48	Facility	50	$8,117.26	$14,069.48	$14,069.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.50 / $431.69 / $1,315.79	Professional		$264.50	$431.69	$1,315.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $939.21 / $939.21 / $939.21	Professional	50	$939.21	$939.21	$939.21
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 $275.97 / $352.91 / $573.53	Professional		$275.97	$352.91	$573.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $413.96 / $529.36 / $860.29	Professional	50	$413.96	$529.36	$860.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $336.31 / $688.60 / $2,413.00	Professional		$336.31	$688.60	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.65 / $502.65 / $502.65	Facility		$502.65	$502.65	$502.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.27 / $555.99 / $1,217.27	Professional		$304.27	$555.99	$1,217.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.51 / $368.83 / $474.31	Professional		$313.51	$368.83	$474.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.01 / $457.59 / $1,308.23	Facility		$295.01	$457.59	$1,308.23
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $643.59 / $1,431.36 / $2,117.10	Facility	50	$643.59	$1,431.36	$2,117.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $421.00 / $629.00 / $1,616.00	Professional		$421.00	$629.00	$1,616.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $319.58 / $916.81 / $2,498.00	Facility		$319.58	$916.81	$2,498.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $357.63 / $996.27 / $2,498.00	Professional		$357.63	$996.27	$2,498.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.99 / $524.08 / $1,198.17	Professional		$260.99	$524.08	$1,198.17