Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.50 / $3,645.00 / $8,294.00	Facility		$830.50	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.31 / $729.75 / $1,128.08	Professional		$497.31	$729.75	$1,128.08
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 $452.38 / $578.50 / $956.43	Professional		$452.38	$578.50	$956.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $581.13 / $639.24 / $4,039.00	Professional		$581.13	$639.24	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $831.68	Facility		$572.00	$572.00	$831.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $83.17	Facility	AS	$83.17	$83.17	$83.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.83 / $780.90 / $1,334.49	Professional		$540.83	$780.90	$1,334.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.74 / $852.18 / $1,007.12	Professional		$665.74	$852.18	$1,007.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $548.84 / $844.00 / $1,224.51	Facility		$548.84	$844.00	$1,224.51
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $171.96 / $219.80 / $345.75	Facility	80	$171.96	$219.80	$345.75
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.37 / $153.86 / $242.02	Facility	AS	$120.37	$153.86	$242.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $918.00 / $1,072.00 / $1,352.00	Professional		$918.00	$1,072.00	$1,352.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $481.28 / $691.73 / $2,110.98	Facility		$481.28	$691.73	$2,110.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $662.24 / $940.65 / $3,100.74	Professional		$662.24	$940.65	$3,100.74
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 $581.03 / $875.80 / $1,477.20	Professional		$581.03	$875.80	$1,477.20