Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.20 / $2,442.00 / $6,827.70	Facility		$271.20	$2,442.00	$6,827.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.81 / $139.13 / $221.26	Facility	52	$75.81	$139.13	$221.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $278.26 / $502.21	Professional		$141.12	$278.26	$502.21
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 $129.36 / $231.10 / $347.56	Professional		$129.36	$231.10	$347.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.39 / $238.16 / $3,426.00	Professional		$165.39	$238.16	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.79 / $264.25 / $483.14	Professional		$152.79	$264.25	$483.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.25 / $291.89 / $360.01	Professional		$243.25	$291.89	$360.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $278.27 / $509.23	Facility		$152.79	$278.27	$509.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $314.00 / $380.00 / $634.00	Professional		$314.00	$380.00	$634.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.18 / $193.06 / $1,683.00	Facility		$146.18	$193.06	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $256.16 / $390.01 / $1,683.00	Professional		$256.16	$390.01	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,365.06 / $5,889.00	Facility		$1,911.00	$3,365.06	$5,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.51 / $382.00 / $557.41	Professional		$222.51	$382.00	$557.41