Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.82 / $2,705.00 / $7,657.06	Facility		$357.82	$2,705.00	$7,657.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.37 / $308.63 / $518.35	Professional		$201.37	$308.63	$518.35
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 $207.22 / $320.81 / $480.65	Professional		$207.22	$320.81	$480.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $243.63 / $2,315.00	Professional		$243.63	$243.63	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.62 / $372.62 / $372.62	Facility		$372.62	$372.62	$372.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.26 / $37.26 / $37.26	Facility	AS	$37.26	$37.26	$37.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.52 / $334.53 / $610.50	Professional		$212.52	$334.53	$610.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $397.30 / $472.98	Professional		$355.56	$397.30	$472.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.59 / $324.35 / $485.47	Facility		$210.59	$324.35	$485.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $28.69 / $45.86 / $56.23	Facility	AS	$28.69	$45.86	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $423.00 / $480.00 / $689.00	Professional		$423.00	$480.00	$689.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $222.84 / $300.82 / $3,123.00	Facility		$222.84	$300.82	$3,123.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $332.70 / $433.54 / $3,123.00	Professional		$332.70	$433.54	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.06 / $361.87 / $630.67	Professional		$257.06	$361.87	$630.67