Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.29 / $1,938.00 / $6,827.70	Facility		$337.29	$1,938.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $235.96 / $252.97 / $549.66	Facility	54	$235.96	$252.97	$549.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.92 / $338.49 / $634.35	Professional		$294.92	$338.49	$634.35
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 $278.43 / $356.06 / $588.66	Professional		$278.43	$356.06	$588.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $330.46 / $364.52 / $940.00	Professional		$330.46	$364.52	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $498.64	Facility		$420.00	$420.00	$498.64
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $349.05 / $349.05 / $349.05	Facility	54	$349.05	$349.05	$349.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.39 / $427.50 / $686.31	Professional		$298.39	$427.50	$686.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.37 / $400.36 / $473.15	Professional		$309.37	$400.36	$473.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $400.41 / $593.49	Facility		$313.70	$400.41	$593.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $457.00 / $652.00	Professional		$373.00	$457.00	$652.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $290.68 / $403.14 / $819.00	Facility		$290.68	$403.14	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $427.46 / $819.00	Professional		$312.70	$427.46	$819.00
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 $248.31 / $400.40 / $602.16	Professional		$248.31	$400.40	$602.16