Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.88 / $1,275.79 / $8,132.29	Facility		$124.88	$1,275.79	$8,132.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $129.49 / $246.72	Professional		$73.45	$129.49	$246.72
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 $69.39 / $105.99 / $155.86	Professional		$69.39	$105.99	$155.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $79.81 / $974.00	Professional		$79.81	$79.81	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.09 / $124.09 / $124.09	Facility		$124.09	$124.09	$124.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $12.41 / $12.41 / $12.41	Facility	AS	$12.41	$12.41	$12.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $139.68 / $233.51	Professional		$76.27	$139.68	$233.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $127.67 / $151.99	Professional		$114.87	$127.67	$151.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.93 / $125.32 / $215.46	Facility		$74.93	$125.32	$215.46
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $9.72 / $17.93 / $26.19	Facility	AS	$9.72	$17.93	$26.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.18 / $203.00 / $303.00	Professional		$168.18	$203.00	$303.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.95 / $112.93 / $1,098.00	Facility		$77.95	$112.93	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $174.55 / $1,098.00	Professional		$119.80	$174.55	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $141.38 / $235.22	Professional		$97.01	$141.38	$235.22