Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.45 / $3,226.00 / $8,294.00	Facility		$496.45	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.89 / $496.45 / $759.76	Professional		$398.89	$496.45	$759.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.90 / $481.90 / $1,104.56	Professional	50	$481.90	$481.90	$1,104.56
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 $422.26 / $533.39 / $749.81	Professional		$422.26	$533.39	$749.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $633.39 / $800.08 / $1,124.72	Professional	50	$633.39	$800.08	$1,124.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $491.96 / $962.58 / $4,284.00	Professional		$491.96	$962.58	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.20 / $763.20 / $763.20	Facility		$763.20	$763.20	$763.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.04 / $633.30 / $1,056.47	Professional		$431.04	$633.30	$1,056.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $642.40 / $816.77	Professional		$546.04	$642.40	$816.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $442.33 / $642.47 / $990.73	Facility		$442.33	$642.47	$990.73
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $931.50 / $1,047.00 / $2,416.94	Facility	50	$931.50	$1,047.00	$2,416.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $800.00 / $1,079.23	Professional		$705.00	$800.00	$1,079.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $442.28 / $583.33 / $7,420.00	Facility		$442.28	$583.33	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $551.88 / $711.53 / $7,420.00	Professional		$551.88	$711.53	$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 $415.56 / $579.46 / $979.24	Professional		$415.56	$579.46	$979.24