Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $1,814.00 / $7,275.00	Facility		$234.00	$1,814.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $597.14 / $1,449.59	Professional		$201.08	$597.14	$1,449.59
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 $199.25 / $649.29 / $1,218.99	Professional		$199.25	$649.29	$1,218.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $217.95 / $537.34	Professional		$206.44	$217.95	$537.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $610.00 / $972.27	Facility		$320.00	$610.00	$972.27
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.23 / $511.39 / $1,649.26	Professional		$224.23	$511.39	$1,649.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.00 / $911.87 / $1,636.40	Professional		$717.00	$911.87	$1,636.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $897.62 / $1,701.44	Facility		$234.00	$897.62	$1,701.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,165.83 / $1,403.00 / $1,933.00	Professional		$1,165.83	$1,403.00	$1,933.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $284.08 / $493.06	Facility		$221.07	$284.08	$493.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $990.96 / $1,291.83 / $2,094.50	Professional		$990.96	$1,291.83	$2,094.50
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 $769.43 / $1,262.96 / $1,873.25	Professional		$769.43	$1,262.96	$1,873.25