Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.76 / $3,633.00 / $8,294.00	Facility		$323.76	$3,633.00	$8,294.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,128.80 / $5,079.00 / $5,711.57	Facility	50	$3,128.80	$5,079.00	$5,711.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.38 / $423.83 / $707.56	Professional		$281.38	$423.83	$707.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $622.44 / $911.92 / $925.04	Professional	50	$622.44	$911.92	$925.04
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 $285.52 / $386.82 / $568.80	Professional		$285.52	$386.82	$568.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $428.29 / $580.23 / $853.22	Professional	50	$428.29	$580.23	$853.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $307.23 / $445.51 / $3,426.00	Professional		$307.23	$445.51	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.19 / $453.07 / $778.06	Professional		$303.19	$453.07	$778.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.58 / $436.30 / $538.10	Professional		$363.58	$436.30	$538.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.76 / $450.80 / $692.38	Facility		$323.76	$450.80	$692.38
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $659.66 / $866.46 / $1,128.97	Facility	50	$659.66	$866.46	$1,128.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $539.00 / $773.00	Professional		$475.00	$539.00	$773.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $292.25 / $385.14 / $3,512.00	Facility		$292.25	$385.14	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $370.84 / $503.68 / $3,512.00	Professional		$370.84	$503.68	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.16 / $519.85 / $818.06	Professional		$307.16	$519.85	$818.06