Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,087.00 / $8,294.00	Facility		$1,244.00	$5,087.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,818.13 / $5,818.13 / $5,818.13	Facility	50	$5,818.13	$5,818.13	$5,818.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $899.44 / $1,664.56	Professional		$765.90	$899.44	$1,664.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.19 / $1,194.78 / $1,688.45	Professional		$930.19	$1,194.78	$1,688.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,395.29 / $1,792.17 / $2,532.67	Professional	50	$1,395.29	$1,792.17	$2,532.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $997.13 / $1,944.40 / $5,354.00	Professional		$997.13	$1,944.40	$5,354.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,153.51 / $1,153.51 / $1,153.51	Facility		$1,153.51	$1,153.51	$1,153.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.43 / $1,151.65 / $1,886.22	Professional		$840.43	$1,151.65	$1,886.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.42 / $1,127.55 / $1,438.18	Professional		$958.42	$1,127.55	$1,438.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $893.92 / $1,146.34 / $1,823.73	Facility		$893.92	$1,146.34	$1,823.73
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,557.00 / $1,657.94 / $4,111.54	Facility	50	$1,557.00	$1,657.94	$4,111.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,135.00 / $1,293.00 / $1,966.16	Professional		$1,135.00	$1,293.00	$1,966.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $1,211.02 / $9,210.00	Facility		$831.10	$1,211.02	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.10 / $1,211.02 / $9,210.00	Professional		$831.10	$1,211.02	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,321.00	Facility		$6,303.00	$9,270.00	$17,321.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.64 / $941.72 / $1,695.39	Professional		$669.64	$941.72	$1,695.39