Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.65 / $2,190.00 / $6,827.70	Facility		$342.65	$2,190.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.61 / $263.06 / $559.84	Facility	54	$239.61	$263.06	$559.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.25 / $342.65 / $623.63	Professional		$269.25	$342.65	$623.63
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 $274.93 / $352.52 / $582.82	Professional		$274.93	$352.52	$582.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $336.37 / $359.02 / $940.00	Professional		$336.37	$359.02	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $494.57	Facility		$420.00	$420.00	$494.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.20 / $346.20 / $346.20	Facility	54	$346.20	$346.20	$346.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.73 / $377.70 / $687.10	Professional		$287.73	$377.70	$687.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.98 / $403.66 / $477.05	Professional		$311.98	$403.66	$477.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $285.25 / $381.38 / $579.08	Facility		$285.25	$381.38	$579.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $439.00 / $632.00	Professional		$390.00	$439.00	$632.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $282.52 / $365.62 / $819.00	Facility		$282.52	$365.62	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $311.99 / $397.29 / $819.00	Professional		$311.99	$397.29	$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 $241.12 / $385.81 / $610.89	Professional		$241.12	$385.81	$610.89