Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $1,719.00 / $5,743.00	Facility		$134.74	$1,719.00	$5,743.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $67.20 / $195.85 / $306.81	Facility	52	$67.20	$195.85	$306.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $272.39 / $771.39	Professional		$118.31	$272.39	$771.39
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 $116.24 / $285.39 / $701.84	Professional		$116.24	$285.39	$701.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $127.29 / $402.62	Professional		$126.03	$127.29	$402.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $610.00 / $835.64	Facility		$197.32	$610.00	$835.64
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.35 / $243.43 / $912.32	Professional		$135.35	$243.43	$912.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.83 / $542.77 / $674.69	Professional		$377.83	$542.77	$674.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $246.57 / $860.81	Facility		$134.74	$246.57	$860.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $210.79 / $656.00 / $973.00	Professional		$210.79	$656.00	$973.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $131.71 / $190.90 / $280.73	Facility		$131.71	$190.90	$280.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $481.71 / $1,216.24	Professional		$175.82	$481.71	$1,216.24
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 $160.97 / $490.77 / $970.12	Professional		$160.97	$490.77	$970.12