Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.55 / $1,346.00 / $8,294.00	Facility		$56.55	$1,346.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $81.89 / $146.36	Professional		$34.14	$81.89	$146.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.89 / $32.53 / $43.05	Professional	52	$15.89	$32.53	$43.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $64.38 / $104.63	Professional		$29.37	$64.38	$104.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $52.78 / $974.00	Professional		$34.18	$52.78	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $78.86 / $141.58	Professional		$37.86	$78.86	$141.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $86.50 / $121.80	Professional		$72.08	$86.50	$121.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $83.01 / $149.47	Facility		$34.15	$83.01	$149.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $110.00 / $162.00	Professional		$90.00	$110.00	$162.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $55.61 / $805.00	Facility		$33.33	$55.61	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $114.48 / $805.00	Professional		$76.44	$114.48	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $113.96 / $162.88	Professional		$67.00	$113.96	$162.88