Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.49 / $2,012.00 / $6,827.70	Facility		$419.49	$2,012.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $289.89 / $318.04 / $678.38	Facility	54	$289.89	$318.04	$678.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $393.13 / $684.87	Professional		$321.75	$393.13	$684.87
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 $337.75 / $431.91 / $714.07	Professional		$337.75	$431.91	$714.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.38 / $439.85 / $940.00	Professional		$402.38	$439.85	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $606.91	Facility		$420.00	$420.00	$606.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $424.84	Facility	54	$424.84	$424.84	$424.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.59 / $454.68 / $841.29	Professional		$347.59	$454.68	$841.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.71 / $495.28 / $585.33	Professional		$382.71	$495.28	$585.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $340.27 / $461.42 / $707.35	Facility		$340.27	$461.42	$707.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $524.00 / $752.00	Professional		$469.00	$524.00	$752.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $335.02 / $431.50 / $892.64	Facility		$335.02	$431.50	$892.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $474.61 / $976.13	Professional		$370.00	$474.61	$976.13
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 $288.62 / $471.01 / $716.97	Professional		$288.62	$471.01	$716.97