Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,715.35 / $9,772.37	Facility		$549.54	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,995.26	Professional		$426.58	$645.65	$1,995.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $2,818.38 / $4,168.69	Professional	50	$316.23	$2,818.38	$4,168.69
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 $426.58 / $616.60 / $891.25	Professional		$426.58	$616.60	$891.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $933.25 / $1,318.26	Professional	50	$645.65	$933.25	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $2,290.87 / $3,548.13	Professional		$426.58	$2,290.87	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,122.02	Professional		$426.58	$645.65	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $741.31 / $954.99	Professional		$380.19	$741.31	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $891.25	Professional		$794.33	$831.76	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,071.52	Facility		$446.68	$691.83	$1,071.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $8,709.64	Facility		$398.11	$588.84	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $8,709.64	Professional		$549.54	$812.83	$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 $346.74 / $537.03 / $1,000.00	Professional		$346.74	$537.03	$1,000.00