Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.58 / $2,190.00 / $8,294.00	Facility		$530.58	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $390.71 / $402.92 / $937.10	Facility	54	$390.71	$402.92	$937.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.18 / $520.94 / $735.30	Professional		$428.18	$520.94	$735.30
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 $447.40 / $578.89 / $957.07	Professional		$447.40	$578.89	$957.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $546.62 / $585.26 / $1,065.91	Professional		$546.62	$585.26	$1,065.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $818.60	Facility		$420.00	$420.00	$818.60
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $573.02 / $573.02 / $573.02	Facility	54	$573.02	$573.02	$573.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.89 / $617.66 / $1,078.05	Professional		$471.89	$617.66	$1,078.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.70 / $610.67 / $721.71	Professional		$474.70	$610.67	$721.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $466.44 / $610.22 / $898.36	Facility		$466.44	$610.22	$898.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $670.00 / $932.00	Professional		$589.00	$670.00	$932.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $468.91 / $594.41 / $1,132.88	Facility		$468.91	$594.41	$1,132.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $477.93 / $609.87 / $1,150.33	Professional		$477.93	$609.87	$1,150.33
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 $371.30 / $578.29 / $903.74	Professional		$371.30	$578.29	$903.74