Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.14 / $2,012.00 / $8,294.00	Facility		$228.14	$2,012.00	$8,294.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $171.11 / $183.71 / $398.26	Facility	54	$171.11	$183.71	$398.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.59 / $235.83 / $433.19	Professional		$182.59	$235.83	$433.19
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $141.08 / $171.11 / $214.97	Professional	54	$141.08	$171.11	$214.97
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 $191.80 / $250.73 / $414.53	Professional		$191.80	$250.73	$414.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $224.79 / $251.76 / $822.00	Professional		$224.79	$251.76	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.09 / $351.09 / $351.09	Facility		$351.09	$351.09	$351.09
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.76 / $245.76 / $245.76	Facility	54	$245.76	$245.76	$245.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.40 / $270.38 / $475.29	Professional		$203.40	$270.38	$475.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.86 / $278.83 / $329.54	Professional		$215.86	$278.83	$329.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.77 / $266.94 / $406.95	Facility		$203.77	$266.94	$406.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $305.00 / $443.00	Professional		$272.00	$305.00	$443.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.63 / $255.61 / $805.00	Facility		$183.63	$255.61	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $210.06 / $274.27 / $816.55	Professional		$210.06	$274.27	$816.55
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 $165.49 / $264.33 / $425.91	Professional		$165.49	$264.33	$425.91