Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.60 / $1,990.00 / $5,765.05	Facility		$512.60	$1,990.00	$5,765.05
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $145.93 / $242.28 / $1,785.94	Facility	52	$145.93	$242.28	$1,785.94
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $57.60 / $96.91 / $163.08	Facility	53	$57.60	$96.91	$163.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.26 / $476.78 / $819.73	Professional		$275.26	$476.78	$819.73
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $50.17 / $77.45 / $109.29	Professional	53	$50.17	$77.45	$109.29
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 $233.72 / $294.36 / $441.58	Professional		$233.72	$294.36	$441.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $281.07 / $562.14	Professional		$275.52	$281.07	$562.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $610.00 / $1,250.00	Facility		$425.00	$610.00	$1,250.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.47 / $486.53 / $838.91	Professional		$291.47	$486.53	$838.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.80 / $523.52 / $827.66	Professional		$423.80	$523.52	$827.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $291.86 / $513.50 / $859.39	Facility		$291.86	$513.50	$859.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $693.00 / $1,000.00	Professional		$526.00	$693.00	$1,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $282.48 / $379.56 / $624.52	Facility		$282.48	$379.56	$624.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $510.17 / $648.42 / $1,092.89	Professional		$510.17	$648.42	$1,092.89
United Facility/Professional Facility Modifier Low / Median / High Price $516.00 / $2,464.00 / $5,226.00	Facility		$516.00	$2,464.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.44 / $573.40 / $872.57	Professional		$371.44	$573.40	$872.57