Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.50 / $2,185.00 / $6,827.70	Facility		$277.50	$2,185.00	$6,827.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.98 / $292.79 / $368.12	Facility	52	$99.98	$292.79	$368.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $344.76 / $1,030.72	Professional		$174.30	$344.76	$1,030.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $425.64 / $847.19	Professional		$173.37	$425.64	$847.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $196.38 / $510.47	Professional		$191.26	$196.38	$510.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $789.83 / $1,140.85	Facility		$297.07	$789.83	$1,140.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.02 / $348.57 / $1,039.17	Professional		$189.02	$348.57	$1,039.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.64 / $656.45 / $925.96	Professional		$455.64	$656.45	$925.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.96 / $344.77 / $1,004.55	Facility		$199.96	$344.77	$1,004.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.03 / $681.00 / $1,100.00	Professional		$242.03	$681.00	$1,100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $239.06 / $421.49	Facility		$185.20	$239.06	$421.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $226.01 / $720.07 / $1,394.48	Professional		$226.01	$720.07	$1,394.48
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 $186.49 / $577.26 / $1,104.79	Professional		$186.49	$577.26	$1,104.79