Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.98 / $3,465.42 / $8,294.00	Facility		$250.98	$3,465.42	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.26 / $366.96 / $794.63	Facility	52	$125.26	$366.96	$794.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.46 / $702.93 / $1,767.33	Professional		$233.46	$702.93	$1,767.33
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 $212.85 / $641.53 / $1,687.81	Professional		$212.85	$641.53	$1,687.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $402.97 / $916.00	Professional		$279.83	$402.97	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $611.60 / $2,046.16	Professional		$250.52	$611.60	$2,046.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $949.94 / $1,363.22 / $1,681.31	Professional		$949.94	$1,363.22	$1,681.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.98 / $1,073.00 / $1,797.93	Facility		$250.98	$1,073.00	$1,797.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $505.78 / $1,159.04 / $2,196.00	Professional		$505.78	$1,159.04	$2,196.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $237.99 / $311.76 / $4,071.00	Facility		$237.99	$311.76	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $987.32 / $1,427.87 / $4,283.00	Professional		$987.32	$1,427.87	$4,283.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $877.98 / $1,353.08 / $2,382.51	Professional		$877.98	$1,353.08	$2,382.51