Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.64 / $1,743.00 / $5,955.00	Facility		$569.64	$1,743.00	$5,955.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $427.23 / $453.03 / $1,786.18	Facility	54	$427.23	$453.03	$1,786.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.22 / $604.03 / $1,067.41	Professional		$523.22	$604.03	$1,067.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.19 / $621.73 / $1,027.90	Professional		$486.19	$621.73	$1,027.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $553.42 / $597.11 / $2,012.00	Professional		$553.42	$597.11	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $879.98	Facility		$640.00	$640.00	$879.98
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $615.99 / $615.99 / $615.99	Facility	54	$615.99	$615.99	$615.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.03 / $702.33 / $1,175.54	Professional		$522.03	$702.33	$1,175.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.82 / $685.25 / $809.84	Professional		$531.82	$685.25	$809.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $511.20 / $688.70 / $1,005.09	Facility		$511.20	$688.70	$1,005.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $671.00 / $771.00 / $1,080.00	Professional		$671.00	$771.00	$1,080.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $503.74 / $666.72 / $1,291.00	Facility		$503.74	$666.72	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $534.34 / $705.65 / $1,365.08	Professional		$534.34	$705.65	$1,365.08
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.25 / $666.37 / $1,049.63	Professional		$444.25	$666.37	$1,049.63