Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.62 / $3,988.00 / $8,294.00	Facility		$936.62	$3,988.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.17 / $781.63 / $1,413.16	Professional		$496.17	$781.63	$1,413.16
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 $477.27 / $610.33 / $1,009.05	Professional		$477.27	$610.33	$1,009.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.96 / $651.20 / $5,113.00	Professional		$602.96	$651.20	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $882.10	Facility		$640.00	$640.00	$882.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.62 / $859.07 / $1,625.74	Professional		$536.62	$859.07	$1,625.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.37 / $1,075.58 / $1,271.14	Professional		$836.37	$1,075.58	$1,271.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $581.70 / $942.49 / $1,413.16	Facility		$581.70	$942.49	$1,413.16
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $172.29 / $257.98 / $435.49	Facility	80	$172.29	$257.98	$435.49
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.60 / $180.59 / $304.83	Facility	AS	$120.60	$180.59	$304.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $963.00 / $1,165.00 / $1,649.00	Professional		$963.00	$1,165.00	$1,649.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $510.24 / $707.50 / $2,230.00	Facility		$510.24	$707.50	$2,230.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.61 / $1,024.43 / $3,886.71	Professional		$724.61	$1,024.43	$3,886.71
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 $634.39 / $964.70 / $1,725.08	Professional		$634.39	$964.70	$1,725.08