Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.93 / $3,545.00 / $14,614.38	Facility		$457.93	$3,545.00	$14,614.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.36 / $293.55 / $568.42	Professional		$241.36	$293.55	$568.42
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $65.34 / $68.22 / $96.06	Professional	AS	$65.34	$68.22	$96.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.27 / $302.61 / $500.30	Professional		$240.27	$302.61	$500.30
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $33.11 / $42.36 / $70.04	Professional	AS	$33.11	$42.36	$70.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $326.54 / $916.00	Professional		$316.23	$326.54	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $292.55 / $640.00	Facility		$292.55	$292.55	$640.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $179.42 / $179.42 / $179.42	Facility	62	$179.42	$179.42	$179.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $28.71 / $28.71 / $28.71	Facility	AS	$28.71	$28.71	$28.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.95 / $341.36 / $567.95	Professional		$250.95	$341.36	$567.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.90 / $306.70 / $353.57	Professional		$238.90	$306.70	$353.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $264.55 / $343.45 / $479.55	Facility		$264.55	$343.45	$479.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $68.55 / $71.70 / $134.13	Facility	80	$68.55	$71.70	$134.13
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $47.99 / $50.19 / $93.90	Facility	AS	$47.99	$50.19	$93.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $356.13 / $482.00	Professional		$328.00	$356.13	$482.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $258.44 / $346.53 / $819.00	Facility		$258.44	$346.53	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $258.44 / $346.53 / $819.00	Professional		$258.44	$346.53	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,148.00 / $2,375.00	Facility		$231.00	$1,148.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.11 / $339.27 / $511.26	Professional		$213.11	$339.27	$511.26