Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.22 / $1,719.00 / $5,743.00	Facility		$403.22	$1,719.00	$5,743.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.85 / $354.80 / $758.64	Facility	54	$322.85	$354.80	$758.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.77 / $434.57 / $800.56	Professional		$365.77	$434.57	$800.56
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 $367.25 / $469.64 / $776.45	Professional		$367.25	$469.64	$776.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $451.14 / $475.21 / $2,012.00	Professional		$451.14	$475.21	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $664.33	Facility		$420.00	$420.00	$664.33
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $465.03 / $465.03 / $465.03	Facility	54	$465.03	$465.03	$465.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.80 / $521.28 / $928.34	Professional		$393.80	$521.28	$928.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.39 / $542.30 / $640.91	Professional		$420.39	$542.30	$640.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $381.65 / $518.21 / $776.23	Facility		$381.65	$518.21	$776.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $593.00 / $836.00	Professional		$520.00	$593.00	$836.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $380.97 / $499.48 / $969.65	Facility		$380.97	$499.48	$969.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $420.87 / $546.52 / $1,011.76	Professional		$420.87	$546.52	$1,011.76
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 $333.88 / $544.29 / $861.88	Professional		$333.88	$544.29	$861.88