Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.31 / $2,797.10 / $6,827.70	Facility		$246.31	$2,797.10	$6,827.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $2,493.80 / $2,493.80 / $2,493.80	Facility	53	$2,493.80	$2,493.80	$2,493.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $208.37 / $320.26	Professional		$81.28	$208.37	$320.26
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 $76.47 / $99.04 / $165.33	Professional		$76.47	$99.04	$165.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $95.57 / $194.96	Professional		$95.57	$95.57	$194.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $210.32 / $452.15	Professional		$95.70	$210.32	$452.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $245.26 / $306.58	Professional		$80.88	$245.26	$306.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.51 / $209.92 / $369.48	Facility		$82.51	$209.92	$369.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $349.04 / $479.00	Professional		$197.47	$349.04	$479.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $127.55 / $304.07	Facility		$92.43	$127.55	$304.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $264.41 / $364.89 / $623.66	Professional		$264.41	$364.89	$623.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.79 / $372.27 / $580.66	Professional		$224.79	$372.27	$580.66