Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,630.78 / $9,772.37	Facility		$549.54	$3,630.78	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,760.83 / $9,120.11 / $15,848.93	Facility	50	$6,760.83	$9,120.11	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,548.82	Professional		$478.63	$660.69	$1,548.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $691.83 / $1,584.89	Professional	50	$354.81	$691.83	$1,584.89
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 $478.63 / $691.83 / $977.24	Professional		$478.63	$691.83	$977.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $707.95 / $1,023.29 / $1,479.11	Professional	50	$707.95	$1,023.29	$1,479.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $2,884.03 / $4,466.84	Professional		$467.74	$2,884.03	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,122.02	Professional		$467.74	$676.08	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $954.99	Professional		$426.58	$741.31	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $933.25	Professional		$660.69	$891.25	$933.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $1,174.90	Facility		$489.78	$707.95	$1,174.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $8,709.64	Facility		$436.52	$660.69	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $8,709.64	Professional		$575.44	$831.76	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,023.29	Professional		$389.05	$575.44	$1,023.29