Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.04 / $3,988.00 / $8,003.00	Facility		$595.04	$3,988.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.94 / $497.29 / $863.01	Professional		$336.94	$497.29	$863.01
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 $348.99 / $451.56 / $746.56	Professional		$348.99	$451.56	$746.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $393.51 / $393.51 / $3,019.00	Professional		$393.51	$393.51	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $647.41	Facility		$640.00	$640.00	$647.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.73 / $64.73 / $64.73	Facility	AS	$64.73	$64.73	$64.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.30 / $557.29 / $1,013.43	Professional		$371.30	$557.29	$1,013.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.94 / $661.17 / $781.38	Professional		$512.94	$661.17	$781.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $578.60 / $919.06	Facility		$396.00	$578.60	$919.06
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $82.74 / $103.18 / $184.12	Facility	AS	$82.74	$103.18	$184.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $721.00 / $982.00	Professional		$628.00	$721.00	$982.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $334.18 / $464.83 / $1,610.16	Facility		$334.18	$464.83	$1,610.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $415.86 / $648.02 / $2,253.98	Professional		$415.86	$648.02	$2,253.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.79 / $591.20 / $1,032.67	Professional		$380.79	$591.20	$1,032.67