Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.75 / $2,004.00 / $8,294.00	Facility		$269.75	$2,004.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $202.02 / $218.44 / $470.58	Facility	54	$202.02	$218.44	$470.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $290.85 / $504.31	Professional		$220.50	$290.85	$504.31
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 $235.08 / $304.18 / $502.90	Professional		$235.08	$304.18	$502.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $282.56 / $311.19 / $822.00	Professional		$282.56	$311.19	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.72 / $428.72 / $428.72	Facility		$428.72	$428.72	$428.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $300.10 / $300.10 / $300.10	Facility	54	$300.10	$300.10	$300.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.21 / $314.89 / $586.16	Professional		$240.21	$314.89	$586.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.72 / $346.46 / $409.45	Professional		$267.72	$346.46	$409.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $243.77 / $317.72 / $491.54	Facility		$243.77	$317.72	$491.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $361.00 / $521.00	Professional		$322.00	$361.00	$521.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $228.75 / $301.39 / $819.00	Facility		$228.75	$301.39	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $250.37 / $327.02 / $819.00	Professional		$250.37	$327.02	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $780.00 / $2,350.00	Facility		$231.00	$780.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $317.48 / $496.10	Professional		$195.15	$317.48	$496.10