Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.50 / $4,161.00 / $10,767.00	Facility		$220.50	$4,161.00	$10,767.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $103.98 / $304.08 / $396.57	Facility	52	$103.98	$304.08	$396.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $496.13 / $793.13	Professional		$181.21	$496.13	$793.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $99.69 / $234.48 / $396.57	Professional	52	$99.69	$234.48	$396.57
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 $171.43 / $433.84 / $769.47	Professional		$171.43	$433.84	$769.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $268.62 / $4,284.00	Professional		$192.95	$268.62	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $471.40 / $1,086.04	Professional		$199.14	$471.40	$1,086.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.03 / $649.24 / $800.78	Professional		$541.03	$649.24	$800.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $217.04 / $575.46 / $1,144.15	Facility		$217.04	$575.46	$1,144.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $834.00 / $1,158.00	Professional		$718.00	$834.00	$1,158.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $188.46 / $250.78 / $7,420.00	Facility		$188.46	$250.78	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $635.26 / $831.60 / $7,420.00	Professional		$635.26	$831.60	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,321.00	Facility		$6,303.00	$9,373.00	$17,321.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.16 / $895.75 / $1,419.03	Professional		$574.16	$895.75	$1,419.03