Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.77 / $629.38 / $4,771.00	Facility		$310.77	$629.38	$4,771.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $214.03 / $233.09 / $502.16	Facility	54	$214.03	$233.09	$502.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $287.20 / $482.66	Professional		$226.94	$287.20	$482.66
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 $251.73 / $324.23 / $536.04	Professional		$251.73	$324.23	$536.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $294.56 / $326.95 / $822.00	Professional		$294.56	$326.95	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.77 / $460.77 / $460.77	Facility		$460.77	$460.77	$460.77
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $322.54	Facility	54	$322.54	$322.54	$322.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.81 / $338.76 / $631.90	Professional		$256.81	$338.76	$631.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.68 / $374.10 / $442.12	Professional		$289.68	$374.10	$442.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $256.68 / $337.26 / $519.57	Facility		$256.68	$337.26	$519.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $382.00 / $560.00	Professional		$339.00	$382.00	$560.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $248.32 / $319.67 / $819.00	Facility		$248.32	$319.67	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $267.58 / $349.23 / $819.00	Professional		$267.58	$349.23	$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 $205.91 / $337.71 / $531.83	Professional		$205.91	$337.71	$531.83