Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.89 / $1,990.00 / $8,294.00	Facility		$287.89	$1,990.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.45 / $199.51 / $290.44	Facility	52	$99.45	$199.51	$290.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.09 / $377.19 / $719.89	Professional		$182.09	$377.19	$719.89
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 $169.95 / $334.01 / $505.43	Professional		$169.95	$334.01	$505.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.83 / $310.80 / $3,774.00	Professional		$215.83	$310.80	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $366.99 / $669.51	Professional		$199.79	$366.99	$669.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.40 / $419.28 / $517.11	Professional		$349.40	$419.28	$517.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.47 / $399.02 / $661.35	Facility		$199.47	$399.02	$661.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.00 / $518.00 / $765.00	Professional		$436.00	$518.00	$765.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $187.99 / $252.55 / $1,703.77	Facility		$187.99	$252.55	$1,703.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $371.93 / $508.95 / $1,739.62	Professional		$371.93	$508.95	$1,739.62
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 $320.81 / $534.17 / $793.13	Professional		$320.81	$534.17	$793.13