Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $867.23 / $5,743.00	Facility		$62.56	$867.23	$5,743.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.86 / $62.74 / $141.71	Facility	52	$20.86	$62.74	$141.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $108.23 / $322.92	Professional		$35.82	$108.23	$322.92
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 $36.90 / $162.50 / $326.47	Professional		$36.90	$162.50	$326.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $39.77 / $80.73	Professional		$38.53	$39.77	$80.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $172.55 / $610.00	Facility		$64.27	$172.55	$610.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $215.18 / $399.59	Professional		$41.30	$215.18	$399.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.44 / $260.55 / $414.88	Professional		$208.44	$260.55	$414.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.71 / $221.00 / $395.23	Facility		$41.71	$221.00	$395.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $319.83 / $420.00	Professional		$85.78	$319.83	$420.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $50.76 / $91.12	Facility		$39.21	$50.76	$91.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $236.59 / $293.83 / $535.64	Professional		$236.59	$293.83	$535.64
United Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $724.00 / $2,350.00	Facility		$136.00	$724.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.22 / $285.42 / $435.12	Professional		$186.22	$285.42	$435.12