Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.46 / $4,771.00 / $8,294.00	Facility		$477.46	$4,771.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.20 / $477.46 / $781.26	Professional		$402.20	$477.46	$781.26
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 $396.75 / $507.36 / $838.81	Professional		$396.75	$507.36	$838.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $418.95 / $460.45 / $3,019.00	Professional		$418.95	$460.45	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $484.32 / $640.00	Facility		$484.32	$484.32	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.18 / $568.59 / $929.70	Professional		$419.18	$568.59	$929.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.45 / $522.82 / $617.79	Professional		$408.45	$522.82	$617.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $444.99 / $558.67 / $790.93	Facility		$444.99	$558.67	$790.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $75.31 / $80.63 / $153.75	Facility	AS	$75.31	$80.63	$153.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $599.27 / $995.01	Professional		$530.00	$599.27	$995.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $411.49 / $545.97 / $1,848.51	Facility		$411.49	$545.97	$1,848.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $411.49 / $545.97 / $1,848.51	Professional		$411.49	$545.97	$1,848.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,556.00 / $12,739.00	Facility		$3,651.00	$6,556.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.26 / $535.82 / $816.20	Professional		$345.26	$535.82	$816.20