Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.25 / $3,116.00 / $7,823.58	Facility		$339.25	$3,116.00	$7,823.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,434.00 / $4,434.00 / $6,070.75	Facility	50	$4,434.00	$4,434.00	$6,070.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $339.25 / $597.26	Professional		$191.25	$339.25	$597.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $405.56 / $1,958.02 / $3,165.00	Professional	50	$405.56	$1,958.02	$3,165.00
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 $203.45 / $260.17 / $390.28	Professional		$203.45	$260.17	$390.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $305.17 / $390.25 / $570.08	Professional	50	$305.17	$390.25	$570.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $236.72 / $461.60 / $3,426.00	Professional		$236.72	$461.60	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.76 / $365.76 / $365.76	Facility		$365.76	$365.76	$365.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.33 / $383.71 / $660.33	Professional		$231.33	$383.71	$660.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.69 / $411.40 / $517.26	Professional		$349.69	$411.40	$517.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.72 / $359.61 / $633.60	Facility		$210.72	$359.61	$633.60
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $385.50 / $768.14 / $1,613.00	Facility	50	$385.50	$768.14	$1,613.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $488.00 / $565.16 / $715.00	Professional		$488.00	$565.16	$715.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $213.40 / $304.08 / $7,420.00	Facility		$213.40	$304.08	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $372.13 / $536.64 / $7,420.00	Professional		$372.13	$536.64	$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 $296.27 / $414.77 / $687.33	Professional		$296.27	$414.77	$687.33