Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.26 / $2,190.00 / $8,294.00	Facility		$433.26	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.37 / $325.82 / $765.94	Facility	54	$313.37	$325.82	$765.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.41 / $417.82 / $542.99	Professional		$351.41	$417.82	$542.99
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 $362.05 / $468.46 / $774.50	Professional		$362.05	$468.46	$774.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $425.08 / $449.34 / $2,012.00	Professional		$425.08	$449.34	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $665.91	Facility		$420.00	$420.00	$665.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $466.14 / $466.14 / $466.14	Facility	54	$466.14	$466.14	$466.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.41 / $510.29 / $876.30	Professional		$385.41	$510.29	$876.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.96 / $490.85 / $580.10	Professional		$381.96	$490.85	$580.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $375.36 / $493.68 / $738.53	Facility		$375.36	$493.68	$738.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $545.00 / $753.00	Professional		$477.00	$545.00	$753.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $379.51 / $502.37 / $967.47	Facility		$379.51	$502.37	$967.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $383.37 / $507.55 / $980.80	Professional		$383.37	$507.55	$980.80
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 $299.12 / $477.45 / $750.59	Professional		$299.12	$477.45	$750.59