Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $242.82 / $272.43 / $566.86	Facility	54	$242.82	$272.43	$566.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.29 / $324.48 / $513.88	Professional		$270.29	$324.48	$513.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.64 / $363.13 / $600.36	Professional		$280.64	$363.13	$600.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $336.95 / $370.41 / $940.00	Professional		$336.95	$370.41	$940.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $357.43 / $357.43 / $357.43	Facility	54	$357.43	$357.43	$357.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.20 / $380.19 / $722.88	Professional		$292.20	$380.19	$722.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.97 / $432.20 / $510.78	Professional		$333.97	$432.20	$510.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $444.00 / $644.00	Professional		$395.00	$444.00	$644.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $296.89 / $411.42 / $854.19	Professional		$296.89	$411.42	$854.19
United Facility/Professional Professional Modifier Low / Median / High Price $240.59 / $383.33 / $622.22	Professional		$240.59	$383.33	$622.22