Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.26 / $5,412.00 / $9,539.00	Facility		$1,075.26	$5,412.00	$9,539.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $496.71 / $496.71 / $1,498.46	Facility	54	$496.71	$496.71	$1,498.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $821.35 / $1,337.84	Professional		$616.03	$821.35	$1,337.84
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 $746.20 / $958.45 / $1,354.48	Professional		$746.20	$958.45	$1,354.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $810.93 / $1,581.31 / $4,337.00	Professional		$810.93	$1,581.31	$4,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $925.34 / $925.34 / $925.34	Facility		$925.34	$925.34	$925.34
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $647.74 / $647.74 / $647.74	Facility	54	$647.74	$647.74	$647.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.82 / $902.25 / $1,507.10	Professional		$679.82	$902.25	$1,507.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.35 / $906.29 / $1,155.98	Professional		$770.35	$906.29	$1,155.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $734.58 / $931.32 / $1,483.86	Facility		$734.58	$931.32	$1,483.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $932.00 / $1,051.00 / $1,573.58	Professional		$932.00	$1,051.00	$1,573.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $677.86 / $968.55 / $7,420.00	Facility		$677.86	$968.55	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $677.86 / $968.55 / $7,420.00	Professional		$677.86	$968.55	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.22 / $771.12 / $1,264.23	Professional		$542.22	$771.12	$1,264.23