Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.48 / $4,301.96 / $8,900.00	Facility		$535.48	$4,301.96	$8,900.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,061.21 / $8,295.00 / $8,295.00	Facility	50	$5,061.21	$8,295.00	$8,295.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.91 / $171.63 / $410.13	Facility	52	$157.91	$171.63	$410.13
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $63.16 / $68.65 / $164.05	Facility	53	$63.16	$68.65	$164.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.82 / $343.26 / $620.11	Professional		$315.82	$343.26	$620.11
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 $274.44 / $350.95 / $481.32	Professional		$274.44	$350.95	$481.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $327.10 / $472.74 / $4,284.00	Professional		$327.10	$472.74	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.94 / $414.84 / $750.38	Professional		$301.94	$414.84	$750.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.23 / $341.08 / $420.66	Professional		$284.23	$341.08	$420.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.97 / $421.28 / $619.16	Facility		$320.97	$421.28	$619.16
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $648.26 / $797.55 / $1,155.59	Facility	50	$648.26	$797.55	$1,155.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $439.00 / $697.27	Professional		$382.00	$439.00	$697.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $311.32 / $413.75 / $4,071.00	Facility		$311.32	$413.75	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $311.32 / $413.75 / $4,071.00	Professional		$311.32	$413.75	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.06 / $418.83 / $649.98	Professional		$262.06	$418.83	$649.98