Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.06 / $1,990.00 / $6,827.70	Facility		$348.06	$1,990.00	$6,827.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.34 / $205.83 / $277.10	Facility	52	$94.34	$205.83	$277.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.43 / $320.73 / $642.16	Professional		$169.43	$320.73	$642.16
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 $164.01 / $343.42 / $591.89	Professional		$164.01	$343.42	$591.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.01 / $183.33 / $372.16	Professional		$181.01	$183.33	$372.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.89 / $511.22 / $875.00	Facility		$278.89	$511.22	$875.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $223.11 / $223.11 / $223.11	Facility	52	$223.11	$223.11	$223.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.54 / $321.37 / $711.29	Professional		$177.54	$321.37	$711.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.38 / $462.90 / $595.17	Professional		$364.38	$462.90	$595.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.67 / $321.79 / $672.47	Facility		$188.67	$321.79	$672.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.08 / $433.00 / $769.00	Professional		$243.08	$433.00	$769.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $122.46 / $224.12 / $397.08	Facility		$122.46	$224.12	$397.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $220.60 / $434.91 / $927.00	Professional		$220.60	$434.91	$927.00
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 $188.41 / $376.31 / $716.95	Professional		$188.41	$376.31	$716.95