Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.11 / $2,190.00 / $8,294.00	Facility		$560.11	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $403.52 / $437.24 / $953.06	Facility	54	$403.52	$437.24	$953.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $538.03 / $742.20	Professional		$442.47	$538.03	$742.20
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 $452.99 / $579.28 / $957.72	Professional		$452.99	$579.28	$957.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.60 / $554.13 / $2,012.00	Professional		$524.60	$554.13	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $823.44	Facility		$420.00	$420.00	$823.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $576.41 / $576.41 / $576.41	Facility	54	$576.41	$576.41	$576.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.02 / $652.82 / $1,128.80	Professional		$486.02	$652.82	$1,128.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.25 / $654.90 / $773.97	Professional		$509.25	$654.90	$773.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $511.17 / $643.07 / $952.37	Facility		$511.17	$643.07	$952.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $643.00 / $731.00 / $1,012.00	Professional		$643.00	$731.00	$1,012.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $468.89 / $629.34 / $1,146.58	Facility		$468.89	$629.34	$1,146.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $511.74 / $675.36 / $1,242.11	Professional		$511.74	$675.36	$1,242.11
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 $412.61 / $661.83 / $1,015.36	Professional		$412.61	$661.83	$1,015.36