Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.02 / $3,226.00 / $8,920.00	Facility		$312.02	$3,226.00	$8,920.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.02 / $255.12 / $545.75	Facility	54	$234.02	$255.12	$545.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.29 / $316.68 / $529.61	Professional		$256.29	$316.68	$529.61
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 $270.93 / $350.56 / $579.58	Professional		$270.93	$350.56	$579.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $325.97 / $358.02 / $822.00	Professional		$325.97	$358.02	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.90 / $492.90 / $492.90	Facility		$492.90	$492.90	$492.90
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $345.03	Facility	54	$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.13 / $361.69 / $682.33	Professional		$279.13	$361.69	$682.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.14 / $401.37 / $474.34	Professional		$310.14	$401.37	$474.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $294.82 / $371.09 / $570.12	Facility		$294.82	$371.09	$570.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $419.00 / $606.00	Professional		$375.00	$419.00	$606.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $264.20 / $349.21 / $819.00	Facility		$264.20	$349.21	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $279.62 / $379.69 / $819.00	Professional		$279.62	$379.69	$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 $226.78 / $370.97 / $595.77	Professional		$226.78	$370.97	$595.77