Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,561.00 / $8,294.00	Facility		$812.00	$2,561.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.98 / $388.82 / $916.31	Facility	54	$373.98	$388.82	$916.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.07 / $498.64 / $687.98	Professional		$418.07	$498.64	$687.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.70 / $565.53 / $934.99	Professional		$436.70	$565.53	$934.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $505.79 / $542.83 / $2,635.00	Professional		$505.79	$542.83	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $539.75	Facility		$420.00	$420.00	$539.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.54 / $375.54 / $375.54	Facility	54	$375.54	$375.54	$375.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.77 / $578.20 / $1,016.56	Professional		$458.77	$578.20	$1,016.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.59 / $586.79 / $693.49	Professional		$456.59	$586.79	$693.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.59 / $595.78 / $881.33	Facility		$456.59	$595.78	$881.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $571.00 / $649.00 / $903.00	Professional		$571.00	$649.00	$903.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $456.60 / $586.35 / $1,107.92	Facility		$456.60	$586.35	$1,107.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $456.60 / $586.35 / $1,107.92	Professional		$456.60	$586.35	$1,107.92
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 $357.61 / $556.19 / $897.80	Professional		$357.61	$556.19	$897.80