Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.27 / $2,324.67 / $8,294.00	Facility		$238.27	$2,324.67	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.10 / $252.31 / $420.75	Facility	52	$85.10	$252.31	$420.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $434.82 / $980.97	Professional		$151.16	$434.82	$980.97
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 $144.21 / $387.35 / $891.67	Professional		$144.21	$387.35	$891.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.29 / $265.55 / $2,315.00	Professional		$166.29	$265.55	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $430.86 / $1,440.14	Professional		$171.17	$430.86	$1,440.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.24 / $729.89 / $904.20	Professional		$608.24	$729.89	$904.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.49 / $628.25 / $1,286.72	Facility		$172.49	$628.25	$1,286.72
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $398.83 / $1,745.79 / $2,115.94	Facility	50	$398.83	$1,745.79	$2,115.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $606.38 / $724.00 / $1,254.00	Professional		$606.38	$724.00	$1,254.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.88 / $209.87 / $1,428.00	Facility		$158.88	$209.87	$1,428.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $627.75 / $1,048.10 / $2,091.76	Professional		$627.75	$1,048.10	$2,091.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.25 / $921.94 / $1,514.86	Professional		$550.25	$921.94	$1,514.86