Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.62 / $5,042.39 / $8,920.00	Facility		$586.62	$5,042.39	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.92 / $586.62 / $1,028.82	Professional		$499.92	$586.62	$1,028.82
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 $484.95 / $620.15 / $1,025.29	Professional		$484.95	$620.15	$1,025.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $574.75 / $591.53 / $3,714.00	Professional		$574.75	$591.53	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.09 / $591.09 / $640.00	Facility		$591.09	$591.09	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.49 / $699.27 / $1,139.96	Professional		$512.49	$699.27	$1,139.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.99 / $639.99 / $754.65	Professional		$499.99	$639.99	$754.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $547.25 / $687.20 / $977.26	Facility		$547.25	$687.20	$977.26
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $92.49 / $98.49 / $189.29	Facility	AS	$92.49	$98.49	$189.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $734.00 / $1,082.05	Professional		$650.00	$734.00	$1,082.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $511.65 / $670.40 / $1,291.00	Facility		$511.65	$670.40	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $511.65 / $670.40 / $1,291.00	Professional		$511.65	$670.40	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.10 / $624.99 / $987.04	Professional		$424.10	$624.99	$987.04