Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.10 / $2,582.00 / $8,294.00	Facility		$346.10	$2,582.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $258.56 / $274.69 / $602.83	Facility	54	$258.56	$274.69	$602.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.16 / $366.09 / $598.30	Professional		$275.16	$366.09	$598.30
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 $301.00 / $389.46 / $643.89	Professional		$301.00	$389.46	$643.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $395.30 / $822.00	Professional		$356.13	$395.30	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $547.30	Facility		$420.00	$420.00	$547.30
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.12 / $383.12 / $383.12	Facility	54	$383.12	$383.12	$383.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.19 / $400.48 / $737.80	Professional		$307.19	$400.48	$737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.54 / $434.23 / $513.17	Professional		$335.54	$434.23	$513.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $307.39 / $403.50 / $617.84	Facility		$307.39	$403.50	$617.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $451.00 / $650.00	Professional		$403.00	$451.00	$650.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $297.88 / $386.53 / $819.00	Facility		$297.88	$386.53	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $315.32 / $411.69 / $854.75	Professional		$315.32	$411.69	$854.75
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 $246.21 / $398.95 / $623.41	Professional		$246.21	$398.95	$623.41