Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.27 / $3,640.88 / $8,003.00	Facility		$229.27	$3,640.88	$8,003.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,120.84 / $4,505.82 / $8,161.46	Facility	50	$2,120.84	$4,505.82	$8,161.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $176.54 / $344.27	Professional		$153.32	$176.54	$344.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $166.26 / $332.52 / $511.24	Professional	50	$166.26	$332.52	$511.24
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 $148.74 / $190.21 / $260.87	Professional		$148.74	$190.21	$260.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $223.11 / $285.31 / $391.30	Professional	50	$223.11	$285.31	$391.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $251.44 / $3,426.00	Professional		$173.64	$251.44	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $215.41 / $385.59	Professional		$160.13	$215.41	$385.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $184.07 / $227.02	Professional		$153.38	$184.07	$227.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.65 / $214.39 / $323.07	Facility		$175.65	$214.39	$323.07
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $303.89 / $425.67 / $529.65	Facility	50	$303.89	$425.67	$529.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $225.00 / $378.07	Professional		$199.00	$225.00	$378.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $210.09 / $1,683.00	Facility		$160.38	$210.09	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $210.09 / $1,683.00	Professional		$160.38	$210.09	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $223.99 / $345.07	Professional		$127.99	$223.99	$345.07