Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.73 / $2,012.00 / $6,827.70	Facility		$345.73	$2,012.00	$6,827.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.38 / $264.47 / $597.67	Facility	54	$255.38	$264.47	$597.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.52 / $340.50 / $566.04	Professional		$272.52	$340.50	$566.04
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 $292.26 / $373.74 / $617.90	Professional		$292.26	$373.74	$617.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $355.49 / $380.08 / $940.00	Professional		$355.49	$380.08	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $528.76	Facility		$420.00	$420.00	$528.76
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.13 / $370.13 / $370.13	Facility	54	$370.13	$370.13	$370.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.08 / $398.94 / $696.75	Professional		$298.08	$398.94	$696.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $405.57 / $479.31	Professional		$313.95	$405.57	$479.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $313.95 / $395.96 / $583.91	Facility		$313.95	$395.96	$583.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $435.00 / $618.00	Professional		$382.00	$435.00	$618.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $303.04 / $391.24 / $819.00	Facility		$303.04	$391.24	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $402.26 / $819.00	Professional		$313.95	$402.26	$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 $240.51 / $373.74 / $599.92	Professional		$240.51	$373.74	$599.92