Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.61 / $2,516.00 / $8,294.00	Facility		$283.61	$2,516.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $211.76 / $235.52 / $494.12	Facility	54	$211.76	$235.52	$494.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.87 / $290.77 / $555.87	Professional		$229.87	$290.77	$555.87
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 $250.47 / $320.30 / $529.54	Professional		$250.47	$320.30	$529.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $291.77 / $323.88 / $822.00	Professional		$291.77	$323.88	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.20 / $451.20 / $451.20	Facility		$451.20	$451.20	$451.20
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.83 / $315.83 / $315.83	Facility	54	$315.83	$315.83	$315.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.27 / $328.56 / $628.45	Professional		$254.27	$328.56	$628.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.88 / $379.02 / $447.93	Professional		$292.88	$379.02	$447.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $271.26 / $342.56 / $519.01	Facility		$271.26	$342.56	$519.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $378.00 / $564.00	Professional		$335.00	$378.00	$564.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $236.45 / $317.92 / $819.00	Facility		$236.45	$317.92	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $261.41 / $358.56 / $819.00	Professional		$261.41	$358.56	$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 $203.56 / $338.08 / $546.91	Professional		$203.56	$338.08	$546.91