Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.74 / $1,938.00 / $6,827.70	Facility		$396.74	$1,938.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $274.11 / $299.32 / $640.65	Facility	54	$274.11	$299.32	$640.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.83 / $365.48 / $619.70	Professional		$291.83	$365.48	$619.70
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 $318.31 / $411.86 / $680.92	Professional		$318.31	$411.86	$680.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.25 / $419.96 / $940.00	Professional		$380.25	$419.96	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $578.13	Facility		$420.00	$420.00	$578.13
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $404.69 / $404.69 / $404.69	Facility	54	$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.87 / $424.96 / $799.56	Professional		$327.87	$424.96	$799.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.14 / $469.94 / $555.39	Professional		$363.14	$469.94	$555.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.86 / $433.79 / $667.09	Facility		$320.86	$433.79	$667.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $442.00 / $493.00 / $710.00	Professional		$442.00	$493.00	$710.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $312.47 / $409.60 / $850.41	Facility		$312.47	$409.60	$850.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $327.42 / $445.53 / $925.01	Professional		$327.42	$445.53	$925.01
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 $267.98 / $435.82 / $695.09	Professional		$267.98	$435.82	$695.09