Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.75 / $2,516.00 / $8,294.00	Facility		$266.75	$2,516.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $199.35 / $218.70 / $464.22	Facility	54	$199.35	$218.70	$464.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $291.55 / $454.89	Professional		$220.46	$291.55	$454.89
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 $232.35 / $300.64 / $497.06	Professional		$232.35	$300.64	$497.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $278.37 / $307.79 / $822.00	Professional		$278.37	$307.79	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.44 / $423.44 / $423.44	Facility		$423.44	$423.44	$423.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.41 / $296.41 / $296.41	Facility	54	$296.41	$296.41	$296.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $311.12 / $587.58	Professional		$237.56	$311.12	$587.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.66 / $347.68 / $410.89	Professional		$268.66	$347.68	$410.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $255.60 / $320.76 / $486.41	Facility		$255.60	$320.76	$486.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $360.00 / $522.00	Professional		$319.00	$360.00	$522.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $225.99 / $298.10 / $819.00	Facility		$225.99	$298.10	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $245.21 / $327.05 / $819.00	Professional		$245.21	$327.05	$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 $193.84 / $318.33 / $536.94	Professional		$193.84	$318.33	$536.94