Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.49 / $2,190.00 / $8,294.00	Facility		$339.49	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.01 / $255.41 / $546.04	Facility	54	$234.01	$255.41	$546.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $317.68 / $519.29	Professional		$257.64	$317.68	$519.29
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 $272.02 / $350.56 / $579.58	Professional		$272.02	$350.56	$579.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $327.82 / $357.83 / $940.00	Professional		$327.82	$357.83	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $493.23	Facility		$420.00	$420.00	$493.23
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.26 / $345.26 / $345.26	Facility	54	$345.26	$345.26	$345.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.58 / $367.28 / $684.19	Professional		$279.58	$367.28	$684.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.64 / $402.01 / $475.10	Professional		$310.64	$402.01	$475.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $370.51 / $569.77	Facility		$274.54	$370.51	$569.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $423.00 / $612.00	Professional		$374.00	$423.00	$612.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $267.70 / $356.25 / $819.00	Facility		$267.70	$356.25	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $293.42 / $388.62 / $819.00	Professional		$293.42	$388.62	$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 $227.50 / $378.05 / $598.49	Professional		$227.50	$378.05	$598.49