Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.87 / $2,190.00 / $6,827.70	Facility		$545.87	$2,190.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $376.91 / $418.24 / $886.42	Facility	54	$376.91	$418.24	$886.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.61 / $502.54 / $673.01	Professional		$416.61	$502.54	$673.01
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 $426.14 / $551.38 / $911.59	Professional		$426.14	$551.38	$911.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $526.15 / $558.15 / $2,012.00	Professional		$526.15	$558.15	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $778.84	Facility		$420.00	$420.00	$778.84
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $545.19 / $545.19 / $545.19	Facility	54	$545.19	$545.19	$545.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.95 / $610.66 / $1,095.82	Professional		$457.95	$610.66	$1,095.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.57 / $642.86 / $759.75	Professional		$497.57	$642.86	$759.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $608.84 / $919.65	Facility		$474.00	$608.84	$919.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.00 / $699.00 / $987.00	Professional		$616.00	$699.00	$987.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $444.42 / $579.29 / $1,071.64	Facility		$444.42	$579.29	$1,071.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $497.58 / $631.27 / $1,187.98	Professional		$497.58	$631.27	$1,187.98
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 $384.84 / $613.54 / $969.42	Professional		$384.84	$613.54	$969.42