Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.49 / $2,190.00 / $8,294.00	Facility		$256.49	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $191.78 / $192.37 / $447.80	Facility	54	$191.78	$192.37	$447.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $255.71 / $364.08	Professional		$200.78	$255.71	$364.08
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 $223.38 / $292.00 / $482.76	Professional		$223.38	$292.00	$482.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $262.35 / $291.20 / $940.00	Professional		$262.35	$291.20	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.29 / $409.29 / $420.00	Facility		$409.29	$409.29	$420.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $286.50 / $286.50 / $286.50	Facility	54	$286.50	$286.50	$286.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.52 / $291.50 / $525.92	Professional		$216.52	$291.50	$525.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $308.02 / $364.04	Professional		$238.03	$308.02	$364.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.34 / $290.27 / $435.33	Facility		$231.34	$290.27	$435.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $314.00 / $462.00	Professional		$276.00	$314.00	$462.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $216.49 / $289.01 / $819.00	Facility		$216.49	$289.01	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $222.21 / $291.97 / $819.00	Professional		$222.21	$291.97	$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 $169.03 / $280.20 / $472.61	Professional		$169.03	$280.20	$472.61