Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.60 / $1,990.00 / $6,827.70	Facility		$327.60	$1,990.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.70 / $270.92 / $573.94	Facility	54	$245.70	$270.92	$573.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $327.60 / $567.22	Professional		$266.08	$327.60	$567.22
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 $286.11 / $365.88 / $604.90	Professional		$286.11	$365.88	$604.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $344.59 / $373.09 / $2,012.00	Professional		$344.59	$373.09	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.65 / $514.65 / $572.00	Facility		$514.65	$514.65	$572.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $360.25 / $360.25 / $360.25	Facility	54	$360.25	$360.25	$360.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.87 / $389.10 / $726.22	Professional		$298.87	$389.10	$726.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.18 / $427.30 / $504.99	Professional		$330.18	$427.30	$504.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $292.63 / $393.73 / $599.51	Facility		$292.63	$393.73	$599.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $443.00 / $638.00	Professional		$396.00	$443.00	$638.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $285.05 / $370.00 / $819.00	Facility		$285.05	$370.00	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $320.66 / $408.88 / $848.92	Professional		$320.66	$408.88	$848.92
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 $244.04 / $393.96 / $614.82	Professional		$244.04	$393.96	$614.82