Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.35 / $3,645.00 / $8,294.00	Facility		$592.35	$3,645.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $217.33 / $241.75 / $574.20	Facility	52	$217.33	$241.75	$574.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.98 / $483.50 / $817.16	Professional		$406.98	$483.50	$817.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.95 / $500.68 / $827.77	Professional		$386.95	$500.68	$827.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $473.27 / $511.13 / $3,448.00	Professional		$473.27	$511.13	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.35 / $480.35 / $572.00	Facility		$480.35	$480.35	$572.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $379.98 / $379.98 / $379.98	Facility	52	$379.98	$379.98	$379.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.77 / $574.37 / $940.50	Professional		$413.77	$574.37	$940.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.68 / $516.71 / $601.94	Professional		$403.68	$516.71	$601.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $434.66 / $570.13 / $821.95	Facility		$434.66	$570.13	$821.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $77.89 / $104.95 / $156.61	Facility	AS	$77.89	$104.95	$156.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $616.00 / $862.00	Professional		$540.00	$616.00	$862.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $419.18 / $559.30 / $1,870.00	Facility		$419.18	$559.30	$1,870.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $419.18 / $559.30 / $1,870.00	Professional		$419.18	$559.30	$1,870.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.38 / $529.37 / $819.70	Professional		$346.38	$529.37	$819.70