Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.02 / $2,190.00 / $8,294.00	Facility		$357.02	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.00 / $269.99 / $579.39	Facility	54	$248.00	$269.99	$579.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.85 / $339.79 / $561.58	Professional		$273.85	$339.79	$561.58
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 $286.12 / $370.21 / $612.05	Professional		$286.12	$370.21	$612.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.96 / $377.61 / $940.00	Professional		$346.96	$377.61	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $520.98	Facility		$420.00	$420.00	$520.98
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $364.69 / $364.69 / $364.69	Facility	54	$364.69	$364.69	$364.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $389.30 / $719.51	Professional		$296.64	$389.30	$719.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.54 / $422.59 / $499.42	Professional		$326.54	$422.59	$499.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.12 / $391.37 / $603.36	Facility		$300.12	$391.37	$603.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $447.00 / $644.00	Professional		$399.00	$447.00	$644.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $287.30 / $374.04 / $819.00	Facility		$287.30	$374.04	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $318.60 / $408.48 / $832.76	Professional		$318.60	$408.48	$832.76
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 $244.26 / $388.18 / $609.25	Professional		$244.26	$388.18	$609.25