Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.64 / $2,190.00 / $8,294.00	Facility		$321.64	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $220.78 / $242.77 / $515.49	Facility	54	$220.78	$242.77	$515.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $301.60 / $571.39	Professional		$245.94	$301.60	$571.39
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 $257.45 / $330.12 / $545.78	Professional		$257.45	$330.12	$545.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $307.42 / $336.83 / $940.00	Professional		$307.42	$336.83	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $464.51	Facility		$420.00	$420.00	$464.51
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $325.16 / $325.16 / $325.16	Facility	54	$325.16	$325.16	$325.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.01 / $343.48 / $646.46	Professional		$265.01	$343.48	$646.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $381.06 / $450.35	Professional		$294.45	$381.06	$450.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.83 / $352.82 / $538.70	Facility		$263.83	$352.82	$538.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $401.00 / $579.00	Professional		$358.00	$401.00	$579.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $254.12 / $332.63 / $819.00	Facility		$254.12	$332.63	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $363.59 / $819.00	Professional		$278.52	$363.59	$819.00
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 $219.59 / $352.74 / $563.76	Professional		$219.59	$352.74	$563.76