Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $2,751.73 / $8,582.00	Facility		$218.06	$2,751.73	$8,582.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $74.16 / $133.97 / $216.69	Facility	52	$74.16	$133.97	$216.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $267.93 / $449.81	Professional		$143.28	$267.93	$449.81
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 $128.69 / $226.99 / $340.28	Professional		$128.69	$226.99	$340.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $236.10 / $2,413.00	Professional		$163.96	$236.10	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $264.43 / $484.03	Professional		$150.81	$264.43	$484.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.68 / $286.42 / $413.28	Professional		$238.68	$286.42	$413.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.81 / $271.43 / $497.49	Facility		$150.81	$271.43	$497.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $379.00 / $629.00	Professional		$298.00	$379.00	$629.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.53 / $191.19 / $1,683.00	Facility		$144.53	$191.19	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $255.19 / $378.29 / $1,683.00	Professional		$255.19	$378.29	$1,683.00
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 $198.93 / $353.56 / $536.58	Professional		$198.93	$353.56	$536.58