Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.49 / $1,397.00 / $5,743.00	Facility		$473.49	$1,397.00	$5,743.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $355.12 / $392.65 / $1,124.45	Facility	54	$355.12	$392.65	$1,124.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.77 / $512.89 / $842.48	Professional		$417.77	$512.89	$842.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.82 / $521.51 / $862.21	Professional		$407.82	$521.51	$862.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $498.76 / $526.84 / $2,012.00	Professional		$498.76	$526.84	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $738.59	Facility		$420.00	$420.00	$738.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $517.01 / $517.01 / $517.01	Facility	54	$517.01	$517.01	$517.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.95 / $586.29 / $1,028.08	Professional		$434.95	$586.29	$1,028.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.15 / $603.79 / $713.57	Professional		$468.15	$603.79	$713.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $458.83 / $592.13 / $859.95	Facility		$458.83	$592.13	$859.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $663.00 / $930.00	Professional		$576.00	$663.00	$930.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $422.43 / $558.22 / $1,291.00	Facility		$422.43	$558.22	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $470.44 / $609.04 / $1,291.00	Professional		$470.44	$609.04	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.43 / $576.67 / $908.89	Professional		$360.43	$576.67	$908.89