Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.22 / $4,107.60 / $8,294.00	Facility		$534.22	$4,107.60	$8,294.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.83 / $106.84 / $144.13	Facility	53	$31.83	$106.84	$144.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $457.76 / $720.71	Professional		$159.16	$457.76	$720.71
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 $158.07 / $393.87 / $675.58	Professional		$158.07	$393.87	$675.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $313.08 / $3,426.00	Professional		$199.51	$313.08	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.62 / $474.47 / $1,114.46	Professional		$187.62	$474.47	$1,114.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.90 / $555.48 / $685.09	Professional		$462.90	$555.48	$685.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.86 / $501.50 / $951.67	Facility		$179.86	$501.50	$951.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $375.24 / $921.00 / $1,681.00	Professional		$375.24	$921.00	$1,681.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.68 / $236.69 / $2,039.00	Facility		$180.68	$236.69	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $620.09 / $843.17 / $2,052.00	Professional		$620.09	$843.17	$2,052.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.55 / $954.59 / $1,321.44	Professional		$510.55	$954.59	$1,321.44