Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $3,988.00 / $7,850.48	Facility		$345.78	$3,988.00	$7,850.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.74 / $368.70 / $715.44	Professional		$185.74	$368.70	$715.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.19 / $211.83 / $353.62	Professional		$168.19	$211.83	$353.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.49 / $240.95 / $9,951.00	Professional		$199.49	$240.95	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $305.94 / $640.00	Facility		$305.94	$305.94	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $30.59	Facility	AS	$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $420.07 / $733.93	Professional		$197.28	$420.07	$733.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.15 / $468.67 / $553.88	Professional		$362.15	$468.67	$553.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $209.99 / $423.75 / $782.06	Facility		$209.99	$423.75	$782.06
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $84.75 / $103.72 / $188.31	Facility	80	$84.75	$103.72	$188.31
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $59.33 / $72.59 / $131.82	Facility	AS	$59.33	$72.59	$131.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $591.00 / $771.00	Professional		$500.00	$591.00	$771.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $189.96 / $292.20 / $1,291.00	Facility		$189.96	$292.20	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $399.48 / $560.90 / $1,902.40	Professional		$399.48	$560.90	$1,902.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,061.00 / $8,168.84 / $17,187.00	Facility		$5,061.00	$8,168.84	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.53 / $546.51 / $883.58	Professional		$332.53	$546.51	$883.58