Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.75 / $1,781.18 / $5,638.91	Facility		$297.75	$1,781.18	$5,638.91
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.12 / $148.88 / $1,267.40	Facility	52	$70.12	$148.88	$1,267.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.96 / $59.55 / $81.54	Facility	53	$27.96	$59.55	$81.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $263.06 / $496.20	Professional		$127.21	$263.06	$496.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $255.79 / $423.98	Professional		$121.26	$255.79	$423.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $136.10 / $356.00	Professional		$134.09	$136.10	$356.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $550.00 / $1,250.00	Facility		$206.39	$550.00	$1,250.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.71 / $287.92 / $512.58	Professional		$139.71	$287.92	$512.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.04 / $335.94 / $525.00	Professional		$271.04	$335.94	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $297.75 / $503.52	Facility		$140.22	$297.75	$503.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $404.00 / $567.00	Professional		$316.00	$404.00	$567.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.53 / $197.85 / $405.00	Facility		$133.53	$197.85	$405.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $308.58 / $381.19 / $722.78	Professional		$308.58	$381.19	$722.78
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.21 / $356.74 / $538.85	Professional		$228.21	$356.74	$538.85