Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.09 / $3,645.00 / $14,187.00	Facility		$753.09	$3,645.00	$14,187.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $83.12 / $269.20 / $499.12	Facility	53	$83.12	$269.20	$499.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.36 / $753.09 / $2,914.06	Professional		$383.36	$753.09	$2,914.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49,208.00 / $62,509.00 / $67,760.00	Facility		$49,208.00	$62,509.00	$67,760.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $488.11 / $814.85	Professional		$381.70	$488.11	$814.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $453.13 / $489.38 / $4,117.00	Professional		$453.13	$489.38	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.51 / $705.51 / $1,700.00	Facility		$705.51	$705.51	$1,700.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.10 / $141.10 / $141.10	Facility	53	$141.10	$141.10	$141.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.94 / $766.47 / $3,588.46	Professional		$419.94	$766.47	$3,588.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,128.10 / $2,754.02 / $3,254.75	Professional		$2,128.10	$2,754.02	$3,254.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $463.88 / $757.81 / $3,058.52	Facility		$463.88	$757.81	$3,058.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $551.00 / $1,620.00 / $3,507.00	Professional		$551.00	$1,620.00	$3,507.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.71 / $546.80 / $1,991.83	Facility		$407.71	$546.80	$1,991.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $476.55 / $2,198.58 / $7,902.00	Professional		$476.55	$2,198.58	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $34,314.00	Facility		$7,408.00	$13,296.00	$34,314.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,259.86 / $2,053.87 / $3,784.72	Professional		$1,259.86	$2,053.87	$3,784.72