Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.78 / $2,190.00 / $8,294.00	Facility		$562.78	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $415.32 / $439.95 / $978.51	Facility	54	$415.32	$439.95	$978.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.45 / $553.76 / $768.70	Professional		$460.45	$553.76	$768.70
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 $465.63 / $602.47 / $996.06	Professional		$465.63	$602.47	$996.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $571.89 / $608.38 / $2,012.00	Professional		$571.89	$608.38	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $855.54	Facility		$420.00	$420.00	$855.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $598.88 / $598.88 / $598.88	Facility	54	$598.88	$598.88	$598.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.60 / $650.33 / $1,146.85	Professional		$498.60	$650.33	$1,146.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.75 / $662.60 / $783.07	Professional		$514.75	$662.60	$783.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $516.54 / $654.45 / $972.42	Facility		$516.54	$654.45	$972.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $739.00 / $1,034.00	Professional		$650.00	$739.00	$1,034.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $488.15 / $632.78 / $1,184.26	Facility		$488.15	$632.78	$1,184.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $516.17 / $669.19 / $1,249.89	Professional		$516.17	$669.19	$1,249.89
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 $400.51 / $637.16 / $1,021.67	Professional		$400.51	$637.16	$1,021.67