Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.98 / $3,991.00 / $8,294.00	Facility		$401.98	$3,991.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,502.00 / $8,502.00 / $8,502.00	Facility	50	$8,502.00	$8,502.00	$8,502.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $399.21 / $631.64	Professional		$267.27	$399.21	$631.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
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 $286.73 / $366.67 / $509.15	Professional		$286.73	$366.67	$509.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $430.10 / $550.00 / $763.73	Professional	50	$430.10	$550.00	$763.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $332.70 / $648.76 / $3,472.00	Professional		$332.70	$648.76	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.53 / $513.53 / $513.53	Facility		$513.53	$513.53	$513.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.10 / $450.79 / $825.92	Professional		$293.10	$450.79	$825.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.07 / $525.97 / $661.29	Professional		$447.07	$525.97	$661.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $290.00 / $444.50 / $760.87	Facility		$290.00	$444.50	$760.87
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $541.50 / $657.45 / $1,956.93	Facility	50	$541.50	$657.45	$1,956.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $503.00 / $565.00 / $866.00	Professional		$503.00	$565.00	$866.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $277.23 / $382.51 / $7,420.00	Facility		$277.23	$382.51	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $406.44 / $568.90 / $7,420.00	Professional		$406.44	$568.90	$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 $293.64 / $446.82 / $748.81	Professional		$293.64	$446.82	$748.81