Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.04 / $2,561.00 / $8,294.00	Facility		$189.04	$2,561.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.43 / $94.52 / $152.97	Facility	52	$64.43	$94.52	$152.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.85 / $189.04 / $351.31	Professional		$128.85	$189.04	$351.31
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 $113.95 / $165.42 / $247.31	Professional		$113.95	$165.42	$247.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $187.85 / $2,413.00	Professional		$130.44	$187.85	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $202.64 / $322.87	Professional		$133.11	$202.64	$322.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.62 / $240.03	Professional		$162.18	$194.62	$240.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.69 / $206.23 / $308.83	Facility		$134.69	$206.23	$308.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $247.00 / $364.00	Professional		$208.00	$247.00	$364.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $165.02 / $805.00	Facility		$126.56	$165.02	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $181.04 / $233.36 / $814.72	Professional		$181.04	$233.36	$814.72
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 $139.47 / $244.08 / $371.45	Professional		$139.47	$244.08	$371.45