Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.49 / $2,190.00 / $14,187.00	Facility		$234.49	$2,190.00	$14,187.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.06 / $117.25 / $141.22	Facility	52	$48.06	$117.25	$141.22
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.22 / $46.90 / $56.49	Facility	53	$19.22	$46.90	$56.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.12 / $210.31 / $383.30	Professional		$96.12	$210.31	$383.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $177.76 / $279.52	Professional		$80.54	$177.76	$279.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $135.78 / $3,426.00	Professional		$90.52	$135.78	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.91 / $209.66 / $390.50	Professional		$99.91	$209.66	$390.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $236.84 / $292.11	Professional		$197.37	$236.84	$292.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.79 / $232.01 / $401.08	Facility		$101.79	$232.01	$401.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $317.02 / $433.00	Professional		$277.00	$317.02	$433.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $148.91 / $2,251.00	Facility		$89.28	$148.91	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $224.45 / $303.14 / $2,251.00	Professional		$224.45	$303.14	$2,251.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $4,428.00	Facility		$1,066.00	$1,893.00	$4,428.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $321.89 / $479.00	Professional		$193.13	$321.89	$479.00