Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.64 / $1,016.03 / $6,827.70	Facility		$338.64	$1,016.03	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.98 / $283.30 / $595.39	Facility	54	$253.98	$283.30	$595.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.32 / $351.17 / $584.20	Professional		$276.32	$351.17	$584.20
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 $292.54 / $374.53 / $619.21	Professional		$292.54	$374.53	$619.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $356.20 / $380.05 / $1,757.00	Professional		$356.20	$380.05	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.57 / $529.57 / $529.57	Facility		$529.57	$529.57	$529.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $370.70	Facility	54	$370.70	$370.70	$370.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.17 / $410.33 / $749.27	Professional		$311.17	$410.33	$749.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.13 / $441.19 / $521.40	Professional		$341.13	$441.19	$521.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $412.07 / $619.30	Facility		$303.80	$412.07	$619.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $414.00 / $470.00 / $667.00	Professional		$414.00	$470.00	$667.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $294.36 / $380.93 / $819.00	Facility		$294.36	$380.93	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $323.89 / $431.35 / $872.15	Professional		$323.89	$431.35	$872.15
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $780.00 / $2,350.00	Facility		$231.00	$780.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.47 / $416.68 / $642.04	Professional		$262.47	$416.68	$642.04