Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.07 / $6,269.00 / $14,112.00	Facility		$903.07	$6,269.00	$14,112.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $386.31 / $413.60 / $985.45	Facility	52	$386.31	$413.60	$985.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.62 / $897.87 / $1,566.43	Professional		$772.62	$897.87	$1,566.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.82 / $853.99 / $1,171.24	Professional		$667.82	$853.99	$1,171.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $799.79 / $1,155.77 / $7,369.00	Professional		$799.79	$1,155.77	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.16 / $1,036.53 / $1,813.26	Professional		$751.16	$1,036.53	$1,813.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.67 / $830.00 / $1,023.67	Professional		$691.67	$830.00	$1,023.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $784.16 / $1,015.19 / $1,417.75	Facility		$784.16	$1,015.19	$1,417.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $976.00 / $1,167.22 / $1,697.71	Professional		$976.00	$1,167.22	$1,697.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.74 / $1,049.72 / $6,585.00	Facility		$776.74	$1,049.72	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.74 / $1,049.72 / $6,585.00	Professional		$776.74	$1,049.72	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.69 / $1,068.33 / $1,603.00	Professional		$636.69	$1,068.33	$1,603.00