Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.14 / $2,848.00 / $6,646.01	Facility		$481.14	$2,848.00	$6,646.01
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $188.07 / $190.85 / $455.39	Facility	52	$188.07	$190.85	$455.39
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $75.23 / $76.34 / $182.16	Facility	53	$75.23	$76.34	$182.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.11 / $411.12 / $639.42	Professional		$327.11	$411.12	$639.42
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 $298.56 / $384.75 / $577.17	Professional		$298.56	$384.75	$577.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.81 / $331.81 / $845.78	Professional		$331.81	$331.81	$845.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $925.00 / $1,572.88	Facility		$373.67	$925.00	$1,572.88
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $450.16 / $826.53	Professional		$316.79	$450.16	$826.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.18 / $372.22 / $526.40	Professional		$310.18	$372.22	$526.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $336.32 / $451.09 / $635.67	Facility		$336.32	$451.09	$635.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $468.00 / $843.00	Professional		$425.00	$468.00	$843.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $346.09 / $453.88 / $796.91	Facility		$346.09	$453.88	$796.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $346.09 / $453.88 / $796.91	Professional		$346.09	$453.88	$796.91
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 $275.63 / $417.28 / $661.06	Professional		$275.63	$417.28	$661.06