Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.70 / $2,516.00 / $8,294.00	Facility		$281.70	$2,516.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.01 / $230.83 / $490.23	Facility	54	$210.01	$230.83	$490.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.29 / $281.70 / $491.84	Professional		$221.29	$281.70	$491.84
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 $249.23 / $318.72 / $526.92	Professional		$249.23	$318.72	$526.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $292.63 / $324.82 / $822.00	Professional		$292.63	$324.82	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.16 / $449.16 / $449.16	Facility		$449.16	$449.16	$449.16
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.41 / $314.41 / $314.41	Facility	54	$314.41	$314.41	$314.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.94 / $325.86 / $625.20	Professional		$252.94	$325.86	$625.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $371.77 / $439.36	Professional		$287.27	$371.77	$439.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $266.10 / $331.58 / $512.41	Facility		$266.10	$331.58	$512.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $372.00 / $553.00	Professional		$329.00	$372.00	$553.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $237.04 / $315.68 / $819.00	Facility		$237.04	$315.68	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $259.32 / $351.19 / $819.00	Professional		$259.32	$351.19	$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 $200.52 / $327.27 / $543.13	Professional		$200.52	$327.27	$543.13