Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.47 / $2,190.00 / $8,294.00	Facility		$362.47	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.77 / $278.63 / $597.36	Facility	54	$255.77	$278.63	$597.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $347.50 / $601.49	Professional		$276.69	$347.50	$601.49
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 $292.19 / $378.07 / $625.05	Professional		$292.19	$378.07	$625.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $358.13 / $385.17 / $940.00	Professional		$358.13	$385.17	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $533.14	Facility		$420.00	$420.00	$533.14
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.20 / $373.20 / $373.20	Facility	54	$373.20	$373.20	$373.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $402.71 / $731.31	Professional		$306.20	$402.71	$731.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.79 / $431.96 / $510.50	Professional		$333.79	$431.96	$510.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $403.03 / $612.57	Facility		$302.39	$403.03	$612.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $411.00 / $463.00 / $667.00	Professional		$411.00	$463.00	$667.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $389.10 / $819.00	Facility		$299.86	$389.10	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $326.35 / $422.94 / $848.23	Professional		$326.35	$422.94	$848.23
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 $254.37 / $415.40 / $649.66	Professional		$254.37	$415.40	$649.66