Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.37 / $2,694.34 / $7,275.00	Facility		$461.37	$2,694.34	$7,275.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.99 / $230.69 / $1,889.16	Facility	52	$114.99	$230.69	$1,889.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $45.59 / $92.27 / $133.97	Facility	53	$45.59	$92.27	$133.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.96 / $429.79 / $753.71	Professional		$227.96	$429.79	$753.71
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $99.27 / $183.33 / $270.25	Professional	52	$99.27	$183.33	$270.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.65 / $73.33 / $108.10	Professional	53	$39.65	$73.33	$108.10
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 $184.73 / $232.66 / $358.77	Professional		$184.73	$232.66	$358.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $221.26 / $475.00	Professional		$218.00	$221.26	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.16 / $610.00 / $1,250.00	Facility		$338.16	$610.00	$1,250.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.07 / $430.73 / $776.41	Professional		$239.07	$430.73	$776.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.63 / $502.31 / $794.13	Professional		$406.63	$502.31	$794.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.97 / $461.37 / $762.96	Facility		$229.97	$461.37	$762.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $626.00 / $900.00	Professional		$500.00	$626.00	$900.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.53 / $308.80 / $480.84	Facility		$223.53	$308.80	$480.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $458.52 / $588.90 / $1,018.19	Professional		$458.52	$588.90	$1,018.19
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 $350.22 / $554.29 / $828.08	Professional		$350.22	$554.29	$828.08