Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.22 / $3,226.00 / $8,294.00	Facility		$452.22	$3,226.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $127.03 / $374.95 / $451.19	Facility	52	$127.03	$374.95	$451.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.46 / $598.37 / $1,199.21	Professional		$224.46	$598.37	$1,199.21
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 $220.80 / $585.91 / $1,040.83	Professional		$220.80	$585.91	$1,040.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.27 / $247.07 / $506.49	Professional		$243.27	$247.07	$506.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.53 / $875.00 / $1,290.78	Facility		$377.53	$875.00	$1,290.78
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.25 / $558.33 / $1,245.21	Professional		$256.25	$558.33	$1,245.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.76 / $805.80 / $1,115.58	Professional		$637.76	$805.80	$1,115.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.06 / $699.36 / $1,253.53	Facility		$254.06	$699.36	$1,253.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $823.00 / $933.47 / $1,820.00	Professional		$823.00	$933.47	$1,820.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $245.59 / $315.56 / $538.30	Facility		$245.59	$315.56	$538.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $759.95 / $943.82 / $1,690.80	Professional		$759.95	$943.82	$1,690.80
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 $582.17 / $934.37 / $1,387.26	Professional		$582.17	$934.37	$1,387.26