Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.11 / $4,703.00 / $8,925.00	Facility		$1,112.11	$4,703.00	$8,925.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $76.20 / $222.42 / $264.12	Facility	53	$76.20	$222.42	$264.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.29 / $850.71 / $2,125.83	Professional		$345.29	$850.71	$2,125.83
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 $317.89 / $779.34 / $1,265.13	Professional		$317.89	$779.34	$1,265.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $361.55 / $491.45 / $5,354.00	Professional		$361.55	$491.45	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.86 / $853.19 / $1,856.42	Professional		$352.86	$853.19	$1,856.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.04 / $1,058.45 / $1,308.33	Professional		$882.04	$1,058.45	$1,308.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $403.88 / $1,017.27 / $1,955.12	Facility		$403.88	$1,017.27	$1,955.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $82.04 / $241.09 / $294.77	Facility	AS	$82.04	$241.09	$294.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,569.00 / $2,097.00	Professional		$1,344.00	$1,569.00	$2,097.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $336.06 / $454.73 / $7,420.00	Facility		$336.06	$454.73	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,095.41 / $1,502.53 / $7,420.00	Professional		$1,095.41	$1,502.53	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,287.00 / $19,040.00	Facility		$5,121.00	$8,287.00	$19,040.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.80 / $1,642.86 / $2,400.76	Professional		$961.80	$1,642.86	$2,400.76