Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.27 / $3,633.00 / $8,920.00	Facility		$932.27	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $903.30 / $1,636.78	Professional		$549.97	$903.30	$1,636.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.02 / $714.87 / $1,181.89	Professional		$559.02	$714.87	$1,181.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $679.41 / $747.35 / $12,325.00	Professional		$679.41	$747.35	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,021.88	Facility		$640.00	$640.00	$1,021.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.19 / $102.19 / $102.19	Facility	AS	$102.19	$102.19	$102.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $964.32 / $1,872.15	Professional		$613.64	$964.32	$1,872.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.01 / $1,234.48 / $1,458.93	Professional		$958.01	$1,234.48	$1,458.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $680.09 / $1,047.84 / $1,614.49	Facility		$680.09	$1,047.84	$1,614.49
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $196.25 / $272.31 / $502.23	Facility	80	$196.25	$272.31	$502.23
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $137.37 / $190.61 / $351.56	Facility	AS	$137.37	$190.61	$351.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,007.00 / $1,337.00 / $1,903.00	Professional		$1,007.00	$1,337.00	$1,903.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.19 / $775.45 / $2,634.61	Facility		$588.19	$775.45	$2,634.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $789.11 / $1,155.15 / $4,492.51	Professional		$789.11	$1,155.15	$4,492.51
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 $703.63 / $1,100.14 / $1,998.35	Professional		$703.63	$1,100.14	$1,998.35