Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.77 / $1,938.00 / $8,294.00	Facility		$117.77	$1,938.00	$8,294.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $284.00 / $284.00 / $284.00	Facility	52	$284.00	$284.00	$284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $134.19 / $229.73	Professional		$94.38	$134.19	$229.73
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 $103.12 / $134.80 / $222.86	Professional		$103.12	$134.80	$222.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $131.15 / $940.00	Professional		$121.48	$131.15	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $187.40 / $640.00	Facility		$187.40	$187.40	$640.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $143.19 / $263.45	Professional		$106.46	$143.19	$263.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $164.37 / $194.26	Professional		$127.02	$164.37	$194.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.46 / $145.13 / $219.22	Facility		$117.46	$145.13	$219.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $168.19 / $263.81	Professional		$145.00	$168.19	$263.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.54 / $132.97 / $564.48	Facility		$100.54	$132.97	$564.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.38 / $154.41 / $576.35	Professional		$110.38	$154.41	$576.35
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $147.22 / $231.59	Professional		$92.50	$147.22	$231.59