Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.91 / $1,670.76 / $5,743.00	Facility		$274.91	$1,670.76	$5,743.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.69 / $54.98 / $64.84	Facility	53	$19.69	$54.98	$64.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $212.20 / $424.03	Professional		$94.12	$212.20	$424.03
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 $92.36 / $116.33 / $194.20	Professional		$92.36	$116.33	$194.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $111.74 / $2,012.00	Professional		$108.21	$111.74	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $168.56 / $640.00	Facility		$168.56	$168.56	$640.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.71 / $33.71 / $33.71	Facility	53	$33.71	$33.71	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $226.20 / $442.75	Professional		$102.30	$226.20	$442.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.27 / $314.82 / $359.11	Professional		$243.27	$314.82	$359.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $242.64 / $420.54	Facility		$111.51	$242.64	$420.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $347.00 / $472.00	Professional		$301.00	$347.00	$472.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.87 / $134.88 / $1,171.00	Facility		$99.87	$134.88	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $249.63 / $331.07 / $1,171.00	Professional		$249.63	$331.07	$1,171.00
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 $208.59 / $327.64 / $511.62	Professional		$208.59	$327.64	$511.62