Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.88 / $10,509.00 / $44,407.51	Facility		$969.88	$10,509.00	$44,407.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $272.44 / $320.81 / $747.89	Facility	52	$272.44	$320.81	$747.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $108.98 / $128.32 / $299.14	Facility	53	$108.98	$128.32	$299.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $641.61 / $1,296.39	Professional		$530.37	$641.61	$1,296.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,104.00 / $20,665.00 / $23,706.00	Facility		$15,104.00	$20,665.00	$23,706.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.12 / $663.81 / $926.54	Professional		$522.12	$663.81	$926.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $630.84 / $1,277.76 / $2,320.85	Professional		$630.84	$1,277.76	$2,320.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,495.00 / $14,985.00 / $40,100.00	Facility		$8,495.00	$14,985.00	$40,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.22 / $771.01 / $1,495.98	Professional		$599.22	$771.01	$1,495.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.01 / $643.21 / $793.29	Professional		$536.01	$643.21	$793.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $544.88 / $773.73 / $1,084.32	Facility		$544.88	$773.73	$1,084.32
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $176.49 / $176.49 / $176.49	Facility	80	$176.49	$176.49	$176.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $744.00 / $803.00 / $1,321.73	Professional		$744.00	$803.00	$1,321.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $578.62 / $772.06 / $16,145.00	Facility		$578.62	$772.06	$16,145.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $578.62 / $781.14 / $16,145.00	Professional		$578.62	$781.14	$16,145.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $15,105.00 / $33,527.00	Facility		$8,367.00	$15,105.00	$33,527.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.09 / $797.97 / $1,230.88	Professional		$519.09	$797.97	$1,230.88