Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.17 / $3,226.00 / $8,920.00	Facility		$335.17	$3,226.00	$8,920.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.38 / $269.83 / $587.59	Facility	54	$251.38	$269.83	$587.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.11 / $335.17 / $576.01	Professional		$271.11	$335.17	$576.01
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 $290.97 / $376.49 / $622.45	Professional		$290.97	$376.49	$622.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.60 / $383.36 / $822.00	Professional		$352.60	$383.36	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.78 / $530.78 / $530.78	Facility		$530.78	$530.78	$530.78
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.55 / $371.55 / $371.55	Facility	54	$371.55	$371.55	$371.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $387.92 / $731.15	Professional		$298.00	$387.92	$731.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.43 / $426.32 / $503.83	Professional		$329.43	$426.32	$503.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.08 / $406.56 / $613.12	Facility		$323.08	$406.56	$613.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $394.00 / $443.00 / $638.00	Professional		$394.00	$443.00	$638.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $287.58 / $374.25 / $819.00	Facility		$287.58	$374.25	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $308.20 / $406.33 / $843.62	Professional		$308.20	$406.33	$843.62
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 $242.59 / $393.17 / $626.66	Professional		$242.59	$393.17	$626.66