Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,981.07 / $9,772.37	Facility		$758.58	$3,981.07	$9,772.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,120.11 / $9,772.37 / $9,772.37	Facility	50	$9,120.11	$9,772.37	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $2,089.30	Professional		$562.34	$794.33	$2,089.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $1,445.44 / $5,370.32	Professional	50	$741.31	$1,445.44	$5,370.32
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 $562.34 / $812.83 / $1,148.15	Professional		$562.34	$812.83	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $851.14 / $1,202.26 / $1,737.80	Professional	50	$851.14	$1,202.26	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $2,290.87 / $3,548.13	Professional		$549.54	$2,290.87	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,288.25	Professional		$549.54	$794.33	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,071.52	Professional		$501.19	$851.14	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $1,000.00	Professional		$912.01	$977.24	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $1,318.26	Facility		$562.34	$812.83	$1,318.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $8,709.64	Facility		$501.19	$741.31	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $8,709.64	Professional		$660.69	$954.99	$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 $446.68 / $630.96 / $1,174.90	Professional		$446.68	$630.96	$1,174.90