Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.67 / $3,384.00 / $7,275.00	Facility		$509.67	$3,384.00	$7,275.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $356.68 / $390.68 / $838.58	Facility	54	$356.68	$390.68	$838.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.65 / $475.57 / $766.18	Professional		$403.65	$475.57	$766.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.51 / $521.12 / $861.56	Professional		$407.51	$521.12	$861.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $470.82 / $501.30 / $2,012.00	Professional		$470.82	$501.30	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $736.07	Facility		$572.00	$572.00	$736.07
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $515.25 / $515.25 / $515.25	Facility	54	$515.25	$515.25	$515.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.75 / $575.66 / $1,022.30	Professional		$430.75	$575.66	$1,022.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.84 / $599.13 / $708.06	Professional		$463.84	$599.13	$708.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $449.87 / $570.51 / $861.28	Facility		$449.87	$570.51	$861.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $652.00 / $916.00	Professional		$572.00	$652.00	$916.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $422.35 / $552.79 / $1,852.20	Facility		$422.35	$552.79	$1,852.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $463.84 / $593.53 / $2,032.59	Professional		$463.84	$593.53	$2,032.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.03 / $595.42 / $904.34	Professional		$365.03	$595.42	$904.34