Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,087.00 / $8,920.00	Facility		$1,244.00	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.46 / $830.66 / $1,504.88	Professional		$682.46	$830.66	$1,504.88
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 $685.03 / $876.00 / $1,448.29	Professional		$685.03	$876.00	$1,448.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $802.76 / $830.25 / $3,448.00	Professional		$802.76	$830.25	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $839.30	Facility		$640.00	$640.00	$839.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.37 / $985.11 / $1,621.08	Professional		$725.37	$985.11	$1,621.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.54 / $897.97 / $1,058.99	Professional		$701.54	$897.97	$1,058.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $767.80 / $971.87 / $1,384.23	Facility		$767.80	$971.87	$1,384.23
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $131.87 / $139.25 / $267.43	Facility	AS	$131.87	$139.25	$267.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,037.00 / $1,528.30	Professional		$920.00	$1,037.00	$1,528.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $715.66 / $937.86 / $3,221.67	Facility		$715.66	$937.86	$3,221.67
Sentara Facility/Professional Professional Modifier Low / Median / High Price $715.66 / $937.86 / $3,221.67	Professional		$715.66	$937.86	$3,221.67
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 $600.96 / $930.74 / $1,417.36	Professional		$600.96	$930.74	$1,417.36