Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.42 / $2,004.00 / $6,827.70	Facility		$367.42	$2,004.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $252.74 / $279.41 / $589.76	Facility	54	$252.74	$279.41	$589.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.89 / $343.57 / $581.16	Professional		$283.89	$343.57	$581.16
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 $290.67 / $376.10 / $621.79	Professional		$290.67	$376.10	$621.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $353.31 / $383.93 / $940.00	Professional		$353.31	$383.93	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $528.16	Facility		$420.00	$420.00	$528.16
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $369.72 / $369.72 / $369.72	Facility	54	$369.72	$369.72	$369.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.19 / $398.98 / $739.34	Professional		$305.19	$398.98	$739.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.75 / $435.80 / $515.03	Professional		$336.75	$435.80	$515.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $298.52 / $403.59 / $617.00	Facility		$298.52	$403.59	$617.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $463.00 / $668.00	Professional		$413.00	$463.00	$668.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $294.89 / $384.16 / $819.00	Facility		$294.89	$384.16	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $335.08 / $422.68 / $859.44	Professional		$335.08	$422.68	$859.44
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 $251.98 / $404.03 / $631.35	Professional		$251.98	$404.03	$631.35