Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.25 / $802.93 / $7,275.00	Facility		$136.25	$802.93	$7,275.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.40 / $111.27 / $384.52	Facility	52	$36.40	$111.27	$384.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $174.23 / $363.53	Professional		$71.14	$174.23	$363.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.40 / $79.23 / $118.93	Professional	52	$36.40	$79.23	$118.93
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 $63.69 / $152.66 / $256.13	Professional		$63.69	$152.66	$256.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $97.16 / $974.00	Professional		$67.93	$97.16	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $174.16 / $352.08	Professional		$73.15	$174.16	$352.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.56 / $216.67 / $268.08	Professional		$180.56	$216.67	$268.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.13 / $195.96 / $340.13	Facility		$76.13	$195.96	$340.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $270.00 / $426.00	Professional		$229.00	$270.00	$426.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $93.60 / $819.00	Facility		$66.31	$93.60	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $254.03 / $819.00	Professional		$180.78	$254.03	$819.00
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 $152.69 / $248.53 / $417.48	Professional		$152.69	$248.53	$417.48