Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.52 / $2,184.84 / $8,294.00	Facility		$105.52	$2,184.84	$8,294.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.78 / $40.51 / $57.99	Facility	53	$16.78	$40.51	$57.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $159.38 / $251.14	Professional		$80.81	$159.38	$251.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $99.62 / $161.86	Professional		$75.59	$99.62	$161.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $86.41 / $676.00	Professional		$86.41	$86.41	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $179.86 / $360.72	Professional		$90.60	$179.86	$360.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.43 / $209.72 / $258.66	Professional		$174.43	$209.72	$258.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $205.21 / $370.67	Facility		$98.80	$205.21	$370.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $277.18 / $373.00	Professional		$231.00	$277.18	$373.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.31 / $119.12 / $220.40	Facility		$87.31	$119.12	$220.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $196.79 / $284.26 / $470.17	Professional		$196.79	$284.26	$470.17
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $283.30 / $431.77	Professional		$180.16	$283.30	$431.77