Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.17 / $1,938.00 / $6,827.70	Facility		$332.17	$1,938.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.25 / $258.31 / $567.00	Facility	54	$239.25	$258.31	$567.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.07 / $319.00 / $556.16	Professional		$253.07	$319.00	$556.16
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 $279.66 / $357.63 / $591.26	Professional		$279.66	$357.63	$591.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $308.43 / $344.10 / $2,012.00	Professional		$308.43	$344.10	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $506.07	Facility		$420.00	$420.00	$506.07
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.25 / $354.25 / $354.25	Facility	54	$354.25	$354.25	$354.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.01 / $368.88 / $669.43	Professional		$263.01	$368.88	$669.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.86 / $389.93 / $460.82	Professional		$301.86	$389.93	$460.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $301.86 / $376.28 / $562.64	Facility		$301.86	$376.28	$562.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $425.00 / $600.00	Professional		$354.00	$425.00	$600.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $255.72 / $372.97 / $819.00	Facility		$255.72	$372.97	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $271.68 / $392.43 / $819.00	Professional		$271.68	$392.43	$819.00
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 $216.98 / $340.96 / $586.65	Professional		$216.98	$340.96	$586.65