Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.19 / $276.60 / $4,316.39	Facility		$55.19	$276.60	$4,316.39
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7.50 / $34.29 / $54.53	Facility	52	$7.50	$34.29	$54.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $55.19 / $107.51	Professional		$23.93	$55.19	$107.51
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.50 / $14.97 / $34.46	Professional	52	$7.50	$14.97	$34.46
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 $24.75 / $52.34 / $85.07	Professional		$24.75	$52.34	$85.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $43.95 / $974.00	Professional		$28.83	$43.95	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $64.95 / $131.97	Professional		$29.29	$64.95	$131.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $70.56 / $190.05	Professional		$58.80	$70.56	$190.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $54.95 / $122.28	Facility		$25.35	$54.95	$122.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $92.00 / $140.00	Professional		$78.00	$92.00	$140.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $38.15 / $805.00	Facility		$28.33	$38.15	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $94.42 / $805.00	Professional		$70.78	$94.42	$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 $52.87 / $97.28 / $141.22	Professional		$52.87	$97.28	$141.22