Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.03 / $4,891.00 / $8,901.48	Facility		$753.03	$4,891.00	$8,901.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $629.27 / $1,074.76	Professional		$407.38	$629.27	$1,074.76
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 $386.04 / $499.50 / $825.82	Professional		$386.04	$499.50	$825.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.41 / $475.50 / $3,714.00	Professional		$467.41	$475.50	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $713.96	Facility		$640.00	$640.00	$713.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $71.40	Facility	AS	$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.25 / $631.96 / $1,156.52	Professional		$403.25	$631.96	$1,156.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.40 / $734.77 / $868.36	Professional		$569.40	$734.77	$868.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $403.53 / $657.82 / $996.89	Facility		$403.53	$657.82	$996.89
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $113.00 / $158.85 / $295.38	Facility	80	$113.00	$158.85	$295.38
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $79.09 / $111.20 / $206.77	Facility	AS	$79.09	$111.20	$206.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $736.84 / $857.00 / $1,136.00	Professional		$736.84	$857.00	$1,136.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $343.93 / $534.67 / $1,833.75	Facility		$343.93	$534.67	$1,833.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $512.46 / $760.64 / $2,661.45	Professional		$512.46	$760.64	$2,661.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $698.30 / $1,159.03	Professional		$455.72	$698.30	$1,159.03