Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,235.94 / $7,943.28	Facility		$229.09	$3,235.94	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,905.46 / $5,495.41 / $8,128.31	Facility	50	$1,905.46	$5,495.41	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $1,230.27	Professional		$141.25	$181.97	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $489.78 / $1,023.29	Professional	50	$245.47	$489.78	$1,023.29
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 $154.88 / $208.93 / $295.12	Professional		$154.88	$208.93	$295.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $309.03 / $436.52	Professional	50	$229.09	$309.03	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $3,548.13	Professional		$169.82	$245.47	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $354.81	Professional		$158.49	$208.93	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $446.68	Professional		$141.25	$177.83	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $371.54	Professional		$218.78	$269.15	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $354.81	Facility		$162.18	$223.87	$354.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $213.80 / $4,073.80	Facility		$144.54	$213.80	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $4,073.80	Professional		$144.54	$213.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $338.84	Professional		$128.82	$204.17	$338.84