Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.04 / $1,990.00 / $6,827.70	Facility		$440.04	$1,990.00	$6,827.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $146.68 / $395.74 / $432.80	Facility	52	$146.68	$395.74	$432.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $58.67 / $158.30 / $173.12	Facility	53	$58.67	$158.30	$173.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.37 / $607.05 / $1,119.44	Professional		$286.37	$607.05	$1,119.44
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 $237.77 / $299.47 / $458.64	Professional		$237.77	$299.47	$458.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $280.27 / $286.30 / $575.46	Professional		$280.27	$286.30	$575.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $610.00 / $1,035.00	Facility		$425.00	$610.00	$1,035.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.37 / $591.28 / $1,170.50	Professional		$298.37	$591.28	$1,170.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.84 / $738.49 / $1,089.68	Professional		$544.84	$738.49	$1,089.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $669.35 / $1,178.82	Facility		$297.02	$669.35	$1,178.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $732.00 / $908.00 / $1,295.00	Professional		$732.00	$908.00	$1,295.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $287.58 / $392.95 / $621.39	Facility		$287.58	$392.95	$621.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $629.92 / $838.93 / $1,622.79	Professional		$629.92	$838.93	$1,622.79
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 $543.28 / $807.06 / $1,314.78	Professional		$543.28	$807.06	$1,314.78