Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.47 / $4,771.00 / $15,165.00	Facility		$290.47	$4,771.00	$15,165.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $136.72 / $401.78 / $815.14	Facility	52	$136.72	$401.78	$815.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $1,027.29 / $2,113.38	Professional		$207.00	$1,027.29	$2,113.38
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $131.26 / $508.67 / $815.14	Professional	52	$131.26	$508.67	$815.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.52 / $619.60 / $1,564.03	Professional		$226.52	$619.60	$1,564.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $324.62 / $9,638.00	Professional		$254.43	$324.62	$9,638.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $655.23 / $2,048.76	Professional		$236.24	$655.23	$2,048.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.79 / $1,311.35 / $1,631.38	Professional		$1,092.79	$1,311.35	$1,631.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $285.87 / $1,092.79 / $2,018.06	Facility		$285.87	$1,092.79	$2,018.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,475.00 / $1,520.00 / $2,206.00	Professional		$1,475.00	$1,520.00	$2,206.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $222.69 / $301.60 / $9,929.00	Facility		$222.69	$301.60	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,215.71 / $1,634.08 / $9,929.00	Professional		$1,215.71	$1,634.08	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,163.38 / $1,776.91 / $2,816.95	Professional		$1,163.38	$1,776.91	$2,816.95