Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.66 / $1,938.00 / $5,412.00	Facility		$140.66	$1,938.00	$5,412.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.07 / $70.28 / $120.64	Facility	52	$36.07	$70.28	$120.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $118.50 / $210.65	Professional		$66.04	$118.50	$210.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $122.29 / $183.34	Professional		$71.13	$122.29	$183.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $100.11 / $2,315.00	Professional		$75.06	$100.11	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $139.24 / $240.93	Professional		$80.45	$139.24	$240.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $151.99 / $184.18	Professional		$103.14	$151.99	$184.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.51 / $139.31 / $217.40	Facility		$81.51	$139.31	$217.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.98 / $184.00 / $250.00	Professional		$168.98	$184.00	$250.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $100.27 / $1,171.00	Facility		$74.94	$100.27	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $174.21 / $1,171.00	Professional		$135.63	$174.21	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $177.89 / $279.79	Professional		$105.96	$177.89	$279.79