Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.90 / $4,771.00 / $8,294.00	Facility		$746.90	$4,771.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.50 / $686.14 / $1,013.38	Professional		$583.50	$686.14	$1,013.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.60 / $792.43 / $1,094.70	Professional		$610.60	$792.43	$1,094.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $738.86 / $738.86 / $7,369.00	Professional		$738.86	$738.86	$7,369.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.08 / $761.08 / $761.08	Facility		$761.08	$761.08	$761.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.72 / $75.72 / $75.72	Facility	AS	$75.72	$75.72	$75.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.71 / $764.45 / $1,339.60	Professional		$613.71	$764.45	$1,339.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.11 / $786.04 / $935.76	Professional		$710.11	$786.04	$935.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $591.92 / $763.58 / $1,141.89	Facility		$591.92	$763.58	$1,141.89
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $80.92 / $88.50 / $114.05	Facility	AS	$80.92	$88.50	$114.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $939.00 / $1,582.97	Professional		$795.00	$939.00	$1,582.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $626.66 / $837.92 / $7,030.19	Facility		$626.66	$837.92	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $626.66 / $837.92 / $7,030.19	Professional		$626.66	$837.92	$7,030.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.61 / $707.79 / $1,219.43	Professional		$499.61	$707.79	$1,219.43