Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.37 / $2,516.00 / $8,294.00	Facility		$314.37	$2,516.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $235.78 / $254.84 / $551.40	Facility	54	$235.78	$254.84	$551.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $315.88 / $527.69	Professional		$275.45	$315.88	$527.69
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 $270.63 / $350.16 / $578.91	Professional		$270.63	$350.16	$578.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.21 / $356.43 / $822.00	Professional		$329.21	$356.43	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.31 / $495.31 / $495.31	Facility		$495.31	$495.31	$495.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.72 / $346.72 / $346.72	Facility	54	$346.72	$346.72	$346.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $364.68 / $675.57	Professional		$279.36	$364.68	$675.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.92 / $397.19 / $469.40	Professional		$306.92	$397.19	$469.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $279.98 / $371.53 / $568.04	Facility		$279.98	$371.53	$568.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $421.00 / $604.00	Professional		$377.00	$421.00	$604.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $269.68 / $350.93 / $819.00	Facility		$269.68	$350.93	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $294.87 / $382.38 / $819.00	Professional		$294.87	$382.38	$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 $232.65 / $373.53 / $591.79	Professional		$232.65	$373.53	$591.79