Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.06 / $2,190.00 / $8,294.00	Facility		$265.06	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $194.06 / $200.21 / $453.26	Facility	54	$194.06	$200.21	$453.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $258.74 / $430.60	Professional		$207.49	$258.74	$430.60
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 $231.24 / $299.47 / $495.11	Professional		$231.24	$299.47	$495.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $301.31 / $940.00	Professional		$271.45	$301.31	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.24 / $278.24 / $420.00	Facility		$278.24	$278.24	$420.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.34 / $192.34 / $192.34	Facility	54	$192.34	$192.34	$192.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.99 / $298.39 / $534.19	Professional		$229.99	$298.39	$534.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.06 / $305.49 / $361.04	Professional		$236.06	$305.49	$361.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $226.31 / $300.16 / $447.95	Facility		$226.31	$300.16	$447.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $320.00 / $459.00	Professional		$286.00	$320.00	$459.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $227.62 / $298.39 / $819.00	Facility		$227.62	$298.39	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.69 / $289.49 / $819.00	Professional		$223.69	$289.49	$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 $176.33 / $281.08 / $440.40	Professional		$176.33	$281.08	$440.40