Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.16 / $2,779.00 / $7,275.00	Facility		$421.16	$2,779.00	$7,275.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $113.56 / $334.86 / $386.73	Facility	52	$113.56	$334.86	$386.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $426.96 / $1,118.29	Professional		$212.70	$426.96	$1,118.29
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 $197.08 / $483.86 / $893.08	Professional		$197.08	$483.86	$893.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.24 / $233.40 / $537.34	Professional		$217.24	$233.40	$537.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $789.83 / $1,140.85	Facility		$336.48	$789.83	$1,140.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.71 / $421.10 / $1,134.48	Professional		$230.71	$421.10	$1,134.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.23 / $691.99 / $1,025.91	Professional		$486.23	$691.99	$1,025.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $230.03 / $421.55 / $1,069.38	Facility		$230.03	$421.55	$1,069.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.56 / $820.00 / $1,209.00	Professional		$363.56	$820.00	$1,209.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $214.14 / $299.89 / $481.00	Facility		$214.14	$299.89	$481.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $330.41 / $673.14 / $1,515.01	Professional		$330.41	$673.14	$1,515.01
United Facility/Professional Facility Modifier Low / Median / High Price $516.00 / $2,441.00 / $5,226.00	Facility		$516.00	$2,441.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $641.63 / $1,278.84	Professional		$272.44	$641.63	$1,278.84