Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.31 / $4,771.00 / $9,347.59	Facility		$429.31	$4,771.00	$9,347.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,967.00 / $9,174.00 / $9,174.00	Facility	50	$5,967.00	$9,174.00	$9,174.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.09 / $479.20 / $880.45	Professional		$367.09	$479.20	$880.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.04 / $3,559.50 / $3,775.50	Professional	50	$78.04	$3,559.50	$3,775.50
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 $390.60 / $497.31 / $701.79	Professional		$390.60	$497.31	$701.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $585.91 / $745.97 / $1,052.69	Professional	50	$585.91	$745.97	$1,052.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $452.01 / $881.42 / $3,472.00	Professional		$452.01	$881.42	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.96 / $710.96 / $710.96	Facility		$710.96	$710.96	$710.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.52 / $569.98 / $941.07	Professional		$401.52	$569.98	$941.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.06 / $595.37 / $756.03	Professional		$506.06	$595.37	$756.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.15 / $583.07 / $954.83	Facility		$426.15	$583.07	$954.83
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $826.50 / $1,133.05 / $2,151.56	Facility	50	$826.50	$1,133.05	$2,151.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $687.00 / $1,011.07	Professional		$608.00	$687.00	$1,011.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $409.95 / $533.34 / $7,420.00	Facility		$409.95	$533.34	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $494.11 / $635.71 / $7,420.00	Professional		$494.11	$635.71	$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 $351.81 / $489.74 / $821.58	Professional		$351.81	$489.74	$821.58