Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.03 / $992.65 / $5,282.00	Facility		$140.03	$992.65	$5,282.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.69 / $82.58 / $662.68	Facility	52	$43.69	$82.58	$662.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $139.50 / $246.34	Professional		$67.79	$139.50	$246.34
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 $59.28 / $74.67 / $124.40	Professional		$59.28	$74.67	$124.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $71.17 / $2,012.00	Professional		$65.90	$71.17	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $110.27 / $420.00	Facility		$110.27	$110.27	$420.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $138.05 / $247.00	Professional		$70.78	$138.05	$247.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $179.66 / $212.33	Professional		$138.83	$179.66	$212.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $142.74 / $260.08	Facility		$72.70	$142.74	$260.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $222.00 / $268.00	Professional		$184.00	$222.00	$268.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $92.45 / $780.00	Facility		$63.91	$92.45	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $140.07 / $193.86 / $780.00	Professional		$140.07	$193.86	$780.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $185.02 / $295.38	Professional		$113.50	$185.02	$295.38