Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.62 / $3,988.00 / $8,294.00	Facility		$697.62	$3,988.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.23 / $668.40 / $1,143.06	Professional		$433.23	$668.40	$1,143.06
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 $435.48 / $556.88 / $920.68	Professional		$435.48	$556.88	$920.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $506.40 / $530.11 / $4,117.00	Professional		$506.40	$530.11	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $795.21	Facility		$640.00	$640.00	$795.21
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.52 / $79.52 / $79.52	Facility	AS	$79.52	$79.52	$79.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.29 / $706.82 / $1,262.00	Professional		$479.29	$706.82	$1,262.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.91 / $804.76 / $951.08	Professional		$625.91	$804.76	$951.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $510.13 / $745.26 / $1,157.63	Facility		$510.13	$745.26	$1,157.63
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $152.66 / $220.20 / $324.69	Facility	80	$152.66	$220.20	$324.69
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $106.87 / $154.13 / $227.28	Facility	AS	$106.87	$154.13	$227.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $785.00 / $912.00 / $1,230.00	Professional		$785.00	$912.00	$1,230.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $466.28 / $622.63 / $2,230.00	Facility		$466.28	$622.63	$2,230.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $628.25 / $837.67 / $2,880.72	Professional		$628.25	$837.67	$2,880.72
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.69 / $765.71 / $1,254.52	Professional		$509.69	$765.71	$1,254.52