Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.64 / $3,988.00 / $8,003.00	Facility		$809.64	$3,988.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.26 / $726.55 / $1,235.13	Professional		$476.26	$726.55	$1,235.13
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 $429.63 / $549.41 / $908.33	Professional		$429.63	$549.41	$908.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $556.33 / $611.96 / $4,117.00	Professional		$556.33	$611.96	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $789.27	Facility		$640.00	$640.00	$789.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $78.93	Facility	AS	$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.36 / $754.63 / $1,301.70	Professional		$506.36	$754.63	$1,301.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.69 / $839.87 / $992.58	Professional		$653.69	$839.87	$992.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $504.84 / $824.70 / $1,211.51	Facility		$504.84	$824.70	$1,211.51
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $174.23 / $231.07 / $339.28	Facility	80	$174.23	$231.07	$339.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $121.96 / $161.75 / $237.50	Facility	AS	$121.96	$161.75	$237.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $875.00 / $1,032.00 / $1,332.00	Professional		$875.00	$1,032.00	$1,332.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $462.83 / $650.61 / $2,003.30	Facility		$462.83	$650.61	$2,003.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $653.70 / $890.90 / $3,120.52	Professional		$653.70	$890.90	$3,120.52
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 $552.12 / $832.78 / $1,391.14	Professional		$552.12	$832.78	$1,391.14