Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.12 / $2,190.00 / $8,294.00	Facility		$383.12	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $256.56 / $287.33 / $598.50	Facility	54	$256.56	$287.33	$598.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $346.94 / $554.61	Professional		$286.87	$346.94	$554.61
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 $302.37 / $387.11 / $640.00	Professional		$302.37	$387.11	$640.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $357.24 / $395.43 / $940.00	Professional		$357.24	$395.43	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $542.54	Facility		$420.00	$420.00	$542.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $379.78 / $379.78 / $379.78	Facility	54	$379.78	$379.78	$379.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.39 / $402.54 / $763.38	Professional		$311.39	$402.54	$763.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.66 / $457.68 / $540.89	Professional		$353.66	$457.68	$540.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $305.24 / $409.86 / $627.41	Facility		$305.24	$409.86	$627.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $468.00 / $683.00	Professional		$417.00	$468.00	$683.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $292.14 / $385.45 / $819.00	Facility		$292.14	$385.45	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $312.20 / $434.64 / $902.40	Professional		$312.20	$434.64	$902.40
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 $252.99 / $419.31 / $707.25	Professional		$252.99	$419.31	$707.25