Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.45 / $2,705.00 / $7,275.00	Facility		$445.45	$2,705.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.16 / $367.00 / $699.60	Professional		$244.16	$367.00	$699.60
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 $244.67 / $371.86 / $548.79	Professional		$244.67	$371.86	$548.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $287.14 / $2,315.00	Professional		$287.14	$287.14	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.54 / $442.54 / $442.54	Facility		$442.54	$442.54	$442.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $44.25 / $44.25 / $44.25	Facility	AS	$44.25	$44.25	$44.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.56 / $391.34 / $722.35	Professional		$250.56	$391.34	$722.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.19 / $454.19 / $540.70	Professional		$409.19	$454.19	$540.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.16 / $375.54 / $562.85	Facility		$250.16	$375.54	$562.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $34.22 / $55.30 / $67.18	Facility	AS	$34.22	$55.30	$67.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $483.00 / $562.00 / $794.00	Professional		$483.00	$562.00	$794.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $273.10 / $359.76 / $1,263.41	Facility		$273.10	$359.76	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $400.95 / $509.69 / $1,380.00	Professional		$400.95	$509.69	$1,380.00
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 $308.45 / $416.84 / $711.09	Professional		$308.45	$416.84	$711.09