Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.11 / $2,516.00 / $6,827.70	Facility		$492.11	$2,516.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $501.61 / $817.26	Professional		$316.24	$501.61	$817.26
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 $314.39 / $402.04 / $664.69	Professional		$314.39	$402.04	$664.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.70 / $362.02 / $3,448.00	Professional		$335.70	$362.02	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $574.91 / $640.00	Facility		$574.91	$574.91	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.16 / $538.16 / $939.51	Professional		$361.16	$538.16	$939.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.53 / $574.12 / $676.88	Professional		$448.53	$574.12	$676.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.69 / $563.63 / $847.04	Facility		$389.69	$563.63	$847.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $85.00 / $96.61 / $164.97	Facility	AS	$85.00	$96.61	$164.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $634.46 / $719.00 / $925.00	Professional		$634.46	$719.00	$925.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $340.09 / $445.63 / $1,660.16	Facility		$340.09	$445.63	$1,660.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $479.98 / $629.59 / $2,166.77	Professional		$479.98	$629.59	$2,166.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,145.00 / $12,739.00	Facility		$3,651.00	$6,145.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.55 / $617.52 / $1,008.27	Professional		$392.55	$617.52	$1,008.27