Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.75 / $2,496.25 / $5,743.00	Facility		$174.75	$2,496.25	$5,743.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.08 / $140.76 / $259.41	Facility	52	$48.08	$140.76	$259.41
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.23 / $56.30 / $103.76	Facility	53	$19.23	$56.30	$103.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $332.34 / $619.40	Professional		$81.62	$332.34	$619.40
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 $79.06 / $216.27 / $495.67	Professional		$79.06	$216.27	$495.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $125.24 / $2,413.00	Professional		$88.82	$125.24	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $231.61 / $669.36	Professional		$89.39	$231.61	$669.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.21 / $419.05 / $519.75	Professional		$349.21	$419.05	$519.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.52 / $349.21 / $670.86	Facility		$100.52	$349.21	$670.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.14 / $506.00 / $736.00	Professional		$191.14	$506.00	$736.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $115.38 / $3,147.19	Facility		$87.41	$115.38	$3,147.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $398.34 / $528.91 / $3,147.19	Professional		$398.34	$528.91	$3,147.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $6,491.00	Facility		$1,911.00	$3,276.00	$6,491.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.48 / $572.04 / $867.06	Professional		$368.48	$572.04	$867.06