Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.47 / $2,004.00 / $6,827.70	Facility		$552.47	$2,004.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $414.35 / $450.12 / $977.27	Facility	54	$414.35	$450.12	$977.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.07 / $552.47 / $941.12	Professional		$455.07	$552.47	$941.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.06 / $593.42 / $981.11	Professional		$464.06	$593.42	$981.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $548.46 / $568.52 / $2,635.00	Professional		$548.46	$568.52	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $842.02	Facility		$420.00	$420.00	$842.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $589.41 / $589.41 / $589.41	Facility	54	$589.41	$589.41	$589.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.97 / $661.43 / $1,161.18	Professional		$497.97	$661.43	$1,161.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.20 / $674.97 / $797.69	Professional		$524.20	$674.97	$797.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $522.73 / $668.40 / $980.44	Facility		$522.73	$668.40	$980.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $664.00 / $756.00 / $1,058.00	Professional		$664.00	$756.00	$1,058.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $480.47 / $635.75 / $1,683.00	Facility		$480.47	$635.75	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $527.19 / $689.38 / $1,683.00	Professional		$527.19	$689.38	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $649.04 / $1,004.88	Professional		$418.00	$649.04	$1,004.88