Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.65 / $4,196.00 / $9,347.59	Facility		$553.65	$4,196.00	$9,347.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,723.83 / $15,982.62 / $15,982.62	Facility	50	$6,723.83	$15,982.62	$15,982.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.27 / $573.34 / $866.34	Professional		$438.27	$573.34	$866.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $344.53 / $514.26 / $4,635.81	Professional	50	$344.53	$514.26	$4,635.81
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 $461.60 / $590.29 / $819.67	Professional		$461.60	$590.29	$819.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $692.41 / $885.43 / $1,229.51	Professional	50	$692.41	$885.43	$1,229.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $536.59 / $1,056.24 / $4,337.00	Professional		$536.59	$1,056.24	$4,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.80 / $836.80 / $836.80	Facility		$836.80	$836.80	$836.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.64 / $686.70 / $1,176.16	Professional		$477.64	$686.70	$1,176.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.12 / $715.44 / $910.23	Professional		$608.12	$715.44	$910.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $484.16 / $683.92 / $1,079.71	Facility		$484.16	$683.92	$1,079.71
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $678.00 / $1,132.22 / $2,692.79	Facility	50	$678.00	$1,132.22	$2,692.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $789.00 / $892.00 / $1,185.00	Professional		$789.00	$892.00	$1,185.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.48 / $626.32 / $7,420.00	Facility		$478.48	$626.32	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $582.69 / $790.79 / $7,420.00	Professional		$582.69	$790.79	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,129.00 / $6,870.00 / $12,739.00	Facility		$4,129.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.36 / $615.02 / $1,024.08	Professional		$460.36	$615.02	$1,024.08