Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.00 / $8,322.09 / $28,065.00	Facility		$2,784.00	$8,322.09	$28,065.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.66 / $1,638.16 / $2,923.18	Professional		$1,368.66	$1,638.16	$2,923.18
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $188.29 / $368.15 / $382.46	Professional	AS	$188.29	$368.15	$382.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $27,843.00 / $30,195.00	Facility		$21,861.00	$27,843.00	$30,195.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,334.71 / $1,706.80 / $2,821.85	Professional		$1,334.71	$1,706.80	$2,821.85
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $186.86 / $238.95 / $395.05	Professional	AS	$186.86	$238.95	$395.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,575.36 / $3,071.95	Professional		$916.00	$1,575.36	$3,071.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,636.45	Facility		$640.00	$640.00	$1,636.45
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $161.91 / $161.91 / $161.91	Facility	AS	$161.91	$161.91	$161.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.96 / $1,909.89 / $3,187.68	Professional		$1,419.96	$1,909.89	$3,187.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,372.94 / $1,757.36 / $2,062.42	Professional		$1,372.94	$1,757.36	$2,062.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,494.70 / $1,943.80 / $2,887.13	Facility		$1,494.70	$1,943.80	$2,887.13
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $352.80 / $486.64 / $755.73	Facility	80	$352.80	$486.64	$755.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $246.96 / $340.65 / $529.01	Facility	AS	$246.96	$340.65	$529.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $2,056.84 / $2,836.00	Professional		$1,818.00	$2,056.84	$2,836.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,372.94 / $1,858.92 / $6,335.06	Facility		$1,372.94	$1,858.92	$6,335.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,372.94 / $1,858.92 / $6,335.06	Professional		$1,372.94	$1,858.92	$6,335.06
United Facility/Professional Facility Modifier Low / Median / High Price $10,459.00 / $25,197.00 / $43,534.00	Facility		$10,459.00	$25,197.00	$43,534.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,154.84 / $1,814.77 / $2,778.10	Professional		$1,154.84	$1,814.77	$2,778.10