Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.04 / $2,012.00 / $6,827.70	Facility		$249.04	$2,012.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $182.97 / $186.78 / $426.99	Facility	54	$182.97	$186.78	$426.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $249.04 / $472.24	Professional		$197.47	$249.04	$472.24
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 $217.89 / $282.17 / $466.51	Professional		$217.89	$282.17	$466.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $285.18 / $940.00	Professional		$256.92	$285.18	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.22 / $265.22 / $420.00	Facility		$265.22	$265.22	$420.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.20 / $183.20 / $183.20	Facility	54	$183.20	$183.20	$183.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.87 / $280.52 / $505.05	Professional		$211.87	$280.52	$505.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $291.39 / $344.37	Professional		$225.17	$291.39	$344.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.31 / $281.67 / $418.14	Facility		$212.31	$281.67	$418.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $303.00 / $435.00	Professional		$269.00	$303.00	$435.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $208.39 / $279.08 / $819.00	Facility		$208.39	$279.08	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $211.76 / $274.04 / $812.16	Professional		$211.76	$274.04	$812.16
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 $164.80 / $267.87 / $428.80	Professional		$164.80	$267.87	$428.80