Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $1,938.00 / $8,294.00	Facility		$128.38	$1,938.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $53.02 / $187.72 / $259.05	Facility	52	$53.02	$187.72	$259.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $390.50 / $518.10	Professional		$103.09	$390.50	$518.10
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 $105.38 / $283.64 / $581.86	Professional		$105.38	$283.64	$581.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $159.35 / $2,315.00	Professional		$110.66	$159.35	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.58 / $380.33 / $856.08	Professional		$122.58	$380.33	$856.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.43 / $478.58 / $590.25	Professional		$331.43	$478.58	$590.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.81 / $432.10 / $781.84	Facility		$119.81	$432.10	$781.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $635.85 / $862.00	Professional		$250.78	$635.85	$862.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.72 / $154.55 / $1,428.00	Facility		$116.72	$154.55	$1,428.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $482.62 / $620.17 / $1,632.00	Professional		$482.62	$620.17	$1,632.00
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 $381.14 / $675.81 / $1,015.07	Professional		$381.14	$675.81	$1,015.07