Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.12 / $2,516.00 / $8,294.00	Facility		$286.12	$2,516.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $214.59 / $224.27 / $500.75	Facility	54	$214.59	$224.27	$500.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $297.87 / $485.12	Professional		$232.63	$297.87	$485.12
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 $247.54 / $320.30 / $529.54	Professional		$247.54	$320.30	$529.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $301.93 / $327.10 / $822.00	Professional		$301.93	$327.10	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $450.36	Facility		$420.00	$420.00	$450.36
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.25 / $315.25 / $315.25	Facility	54	$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $338.07 / $600.30	Professional		$254.55	$338.07	$600.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $352.92 / $417.09	Professional		$272.70	$352.92	$417.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.17 / $334.52 / $503.40	Facility		$254.17	$334.52	$503.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $372.00 / $536.00	Professional		$330.00	$372.00	$536.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $247.90 / $320.39 / $819.00	Facility		$247.90	$320.39	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $268.76 / $336.85 / $819.00	Professional		$268.76	$336.85	$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 $202.81 / $324.91 / $520.79	Professional		$202.81	$324.91	$520.79