Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.27 / $798.89 / $4,725.00	Facility		$345.27	$798.89	$4,725.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $162.18 / $178.01 / $380.66	Facility	52	$162.18	$178.01	$380.66
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $243.27 / $271.04 / $697.64	Facility	54	$243.27	$271.04	$697.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.75 / $356.02 / $581.61	Professional		$270.75	$356.02	$581.61
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 $288.88 / $369.42 / $610.76	Professional		$288.88	$369.42	$610.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $366.58 / $940.00	Professional		$330.25	$366.58	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $523.77	Facility		$420.00	$420.00	$523.77
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $419.02 / $419.02 / $419.02	Facility	52	$419.02	$419.02	$419.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $366.64 / $366.64 / $366.64	Facility	54	$366.64	$366.64	$366.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.13 / $383.33 / $718.42	Professional		$290.13	$383.33	$718.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.52 / $429.88 / $508.04	Professional		$332.52	$429.88	$508.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $291.54 / $383.07 / $593.58	Facility		$291.54	$383.07	$593.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $428.00 / $642.00	Professional		$387.00	$428.00	$642.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $279.11 / $360.66 / $819.00	Facility		$279.11	$360.66	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $306.24 / $400.10 / $830.69	Professional		$306.24	$400.10	$830.69
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 $230.29 / $380.59 / $599.99	Professional		$230.29	$380.59	$599.99