Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.28 / $4,804.82 / $8,772.14	Facility		$825.28	$4,804.82	$8,772.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.18 / $529.03 / $1,005.82	Professional		$436.18	$529.03	$1,005.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.63 / $559.63 / $925.23	Professional		$437.63	$559.63	$925.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $463.33 / $506.16 / $3,019.00	Professional		$463.33	$506.16	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.01 / $535.01 / $640.00	Facility		$535.01	$535.01	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.09 / $53.09 / $53.09	Facility	AS	$53.09	$53.09	$53.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.14 / $627.62 / $1,032.67	Professional		$462.14	$627.62	$1,032.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.24 / $575.03 / $679.58	Professional		$449.24	$575.03	$679.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $490.10 / $618.97 / $878.09	Facility		$490.10	$618.97	$878.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $83.36 / $89.05 / $170.22	Facility	AS	$83.36	$89.05	$170.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $661.00 / $974.10	Professional		$585.00	$661.00	$974.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $455.41 / $597.52 / $2,053.28	Facility		$455.41	$597.52	$2,053.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $455.41 / $597.52 / $2,053.28	Professional		$455.41	$597.52	$2,053.28
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 $380.44 / $575.10 / $908.69	Professional		$380.44	$575.10	$908.69