Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.86 / $733.92 / $5,743.00	Facility		$144.86	$733.92	$5,743.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.23 / $67.70 / $125.15	Facility	52	$49.23	$67.70	$125.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $129.40 / $234.75	Professional		$86.67	$129.40	$234.75
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 $92.34 / $128.10 / $189.07	Professional		$92.34	$128.10	$189.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.58 / $109.72 / $974.00	Professional		$100.58	$109.72	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $162.44 / $162.44	Facility		$162.44	$162.44	$162.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $129.94 / $129.94 / $129.94	Facility	52	$129.94	$129.94	$129.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $138.47 / $238.30	Professional		$98.58	$138.47	$238.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $152.44 / $181.48	Professional		$136.38	$152.44	$181.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $125.25 / $185.64	Facility		$85.03	$125.25	$185.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $180.00 / $258.00	Professional		$153.00	$180.00	$258.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.81 / $123.62 / $1,098.00	Facility		$92.81	$123.62	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $158.94 / $1,098.00	Professional		$106.00	$158.94	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $133.25 / $231.75	Professional		$96.45	$133.25	$231.75