Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.97 / $2,556.96 / $6,827.70	Facility		$462.97	$2,556.96	$6,827.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $78.73 / $199.32 / $231.49	Facility	52	$78.73	$199.32	$231.49
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.50 / $79.73 / $92.59	Facility	53	$31.50	$79.73	$92.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $296.06 / $624.34	Professional		$136.37	$296.06	$624.34
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 $137.76 / $328.08 / $539.29	Professional		$137.76	$328.08	$539.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.32 / $152.91 / $313.47	Professional		$151.32	$152.91	$313.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $550.00 / $1,250.00	Facility		$232.12	$550.00	$1,250.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $350.31 / $657.25	Professional		$160.13	$350.31	$657.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.64 / $438.30 / $608.54	Professional		$350.64	$438.30	$608.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $369.24 / $657.76	Facility		$158.63	$369.24	$657.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $486.00 / $740.00	Professional		$413.00	$486.00	$740.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.36 / $199.67 / $331.34	Facility		$144.36	$199.67	$331.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $364.19 / $472.10 / $883.08	Professional		$364.19	$472.10	$883.08
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 $235.64 / $412.81 / $694.30	Professional		$235.64	$412.81	$694.30