Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.98 / $4,771.00 / $9,347.59	Facility		$549.98	$4,771.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.43 / $549.98 / $884.06	Professional		$394.43	$549.98	$884.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,007.74 / $4,007.74 / $4,007.74	Professional	50	$4,007.74	$4,007.74	$4,007.74
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 $416.73 / $532.91 / $739.99	Professional		$416.73	$532.91	$739.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $625.10 / $799.36 / $1,109.99	Professional	50	$625.10	$799.36	$1,109.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $485.46 / $950.55 / $3,472.00	Professional		$485.46	$950.55	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.88 / $754.88 / $754.88	Facility		$754.88	$754.88	$754.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $660.99 / $1,137.18	Professional		$432.81	$660.99	$1,137.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.60 / $712.47 / $902.19	Professional		$605.60	$712.47	$902.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.76 / $676.48 / $1,075.83	Facility		$436.76	$676.48	$1,075.83
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $927.00 / $1,032.21 / $2,682.32	Facility	50	$927.00	$1,032.21	$2,682.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $816.00 / $1,183.00	Professional		$776.00	$816.00	$1,183.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $432.95 / $566.75 / $7,420.00	Facility		$432.95	$566.75	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $548.92 / $788.49 / $7,420.00	Professional		$548.92	$788.49	$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 $444.62 / $615.37 / $1,095.08	Professional		$444.62	$615.37	$1,095.08