Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.85 / $3,309.00 / $8,294.00	Facility		$563.85	$3,309.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.23 / $526.55 / $880.02	Professional		$339.23	$526.55	$880.02
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 $322.56 / $417.37 / $690.03	Professional		$322.56	$417.37	$690.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $392.34 / $423.73 / $5,113.00	Professional		$392.34	$423.73	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $591.71	Facility		$572.00	$572.00	$591.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.52 / $574.09 / $993.83	Professional		$368.52	$574.09	$993.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.50 / $634.50 / $749.87	Professional		$492.50	$634.50	$749.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $405.19 / $615.48 / $952.91	Facility		$405.19	$615.48	$952.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $87.97 / $114.10 / $180.48	Facility	AS	$87.97	$114.10	$180.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $673.00 / $757.00 / $1,001.00	Professional		$673.00	$757.00	$1,001.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $353.34 / $466.92 / $1,704.37	Facility		$353.34	$466.92	$1,704.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $505.58 / $675.42 / $2,344.84	Professional		$505.58	$675.42	$2,344.84
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 $423.39 / $654.60 / $1,046.29	Professional		$423.39	$654.60	$1,046.29