Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.47 / $4,511.00 / $9,347.59	Facility		$514.47	$4,511.00	$9,347.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,182.00 / $10,480.50 / $10,480.50	Facility	50	$6,182.00	$10,480.50	$10,480.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.61 / $514.47 / $866.83	Professional		$416.61	$514.47	$866.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,141.71 / $1,181.43 / $3,736.50	Professional	50	$1,141.71	$1,181.43	$3,736.50
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 $438.24 / $560.41 / $811.15	Professional		$438.24	$560.41	$811.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $657.37 / $840.63 / $1,167.29	Professional	50	$657.37	$840.63	$1,167.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $509.34 / $1,001.58 / $3,472.00	Professional		$509.34	$1,001.58	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.66 / $794.66 / $794.66	Facility		$794.66	$794.66	$794.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.81 / $652.45 / $1,092.22	Professional		$455.81	$652.45	$1,092.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.80 / $660.95 / $842.65	Professional		$561.80	$660.95	$842.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $475.10 / $686.00 / $1,091.92	Facility		$475.10	$686.00	$1,091.92
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,016.62 / $1,260.60 / $2,504.42	Facility	50	$1,016.62	$1,260.60	$2,504.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $731.00 / $834.00 / $1,120.84	Professional		$731.00	$834.00	$1,120.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $459.30 / $618.52 / $7,420.00	Facility		$459.30	$618.52	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $592.97 / $759.00 / $7,420.00	Professional		$592.97	$759.00	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.73 / $597.83 / $1,060.31	Professional		$440.73	$597.83	$1,060.31