Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.60 / $2,190.00 / $8,294.00	Facility		$268.60	$2,190.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $191.29 / $208.00 / $445.86	Facility	54	$191.29	$208.00	$445.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.63 / $260.63 / $477.89	Professional		$213.63	$260.63	$477.89
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 $215.56 / $281.00 / $464.57	Professional		$215.56	$281.00	$464.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $286.68 / $940.00	Professional		$267.70	$286.68	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.02 / $394.02 / $420.00	Facility		$394.02	$394.02	$420.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.81 / $275.81 / $275.81	Facility	54	$275.81	$275.81	$275.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.62 / $309.05 / $541.30	Professional		$231.62	$309.05	$541.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.67 / $317.72 / $375.49	Professional		$245.67	$317.72	$375.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $230.95 / $302.61 / $466.74	Facility		$230.95	$302.61	$466.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $347.00 / $503.00	Professional		$308.00	$347.00	$503.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.77 / $291.06 / $819.00	Facility		$218.77	$291.06	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $316.22 / $819.00	Professional		$245.68	$316.22	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $780.00 / $2,350.00	Facility		$231.00	$780.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $289.08 / $467.31	Professional		$189.86	$289.08	$467.31