Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.90 / $2,012.00 / $8,294.00	Facility		$379.90	$2,012.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $267.06 / $289.33 / $624.59	Facility	54	$267.06	$289.33	$624.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.81 / $359.39 / $624.25	Professional		$293.81	$359.39	$624.25
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 $310.39 / $396.93 / $656.24	Professional		$310.39	$396.93	$656.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $372.56 / $404.33 / $940.00	Professional		$372.56	$404.33	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $557.42	Facility		$420.00	$420.00	$557.42
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $390.20 / $390.20 / $390.20	Facility	54	$390.20	$390.20	$390.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $420.82 / $765.62	Professional		$322.33	$420.82	$765.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.92 / $448.95 / $530.58	Professional		$346.92	$448.95	$530.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $334.64 / $421.30 / $643.04	Facility		$334.64	$421.30	$643.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $479.00 / $688.00	Professional		$428.00	$479.00	$688.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $315.87 / $402.00 / $819.95	Facility		$315.87	$402.00	$819.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $344.31 / $433.35 / $886.56	Professional		$344.31	$433.35	$886.56
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 $264.25 / $431.10 / $703.42	Professional		$264.25	$431.10	$703.42