Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.08 / $862.43 / $6,827.70	Facility		$71.08	$862.43	$6,827.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.32 / $108.97 / $449.36	Facility	52	$25.32	$108.97	$449.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $155.66 / $331.01	Professional		$44.85	$155.66	$331.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $136.24 / $309.64	Professional		$42.75	$136.24	$309.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $43.66 / $676.00	Professional		$43.66	$43.66	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $113.72 / $370.52	Professional		$46.46	$113.72	$370.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.25 / $236.70 / $290.08	Professional		$197.25	$236.70	$290.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $198.85 / $356.83	Facility		$50.00	$198.85	$356.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $265.00 / $381.00	Professional		$227.00	$265.00	$381.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $62.08 / $218.06	Facility		$45.08	$62.08	$218.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.81 / $280.75 / $488.60	Professional		$199.81	$280.75	$488.60
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.83 / $273.02 / $448.07	Professional		$179.83	$273.02	$448.07