Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $3,226.00 / $8,920.00	Facility		$52.17	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $70.15 / $118.96	Professional		$42.03	$70.15	$118.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.86 / $31.05 / $35.08	Professional	52	$18.86	$31.05	$35.08
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $7.54 / $12.42 / $14.03	Professional	53	$7.54	$12.42	$14.03
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 $45.20 / $71.08 / $106.94	Professional		$45.20	$71.08	$106.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $82.48 / $974.00	Professional		$52.76	$82.48	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $82.34 / $129.59	Professional		$48.91	$82.34	$129.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $84.47 / $104.18	Professional		$70.39	$84.47	$104.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $74.36 / $118.61	Facility		$52.17	$74.36	$118.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $106.42 / $151.00	Professional		$94.00	$106.42	$151.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $63.39 / $805.00	Facility		$48.04	$63.39	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $97.53 / $805.00	Professional		$73.27	$97.53	$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 $60.69 / $97.97 / $149.10	Professional		$60.69	$97.97	$149.10