Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.00 / $3,248.00 / $8,003.00	Facility		$837.00	$3,248.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.52 / $732.28 / $1,315.87	Professional		$487.52	$732.28	$1,315.87
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 $467.15 / $604.42 / $999.30	Professional		$467.15	$604.42	$999.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $581.48 / $628.00 / $6,433.00	Professional		$581.48	$628.00	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $865.11	Facility		$640.00	$640.00	$865.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.51 / $86.51 / $86.51	Facility	AS	$86.51	$86.51	$86.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $811.98 / $1,514.45	Professional		$520.11	$811.98	$1,514.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $786.89 / $1,013.42 / $1,197.68	Professional		$786.89	$1,013.42	$1,197.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $561.96 / $882.09 / $1,328.29	Facility		$561.96	$882.09	$1,328.29
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $169.89 / $235.00 / $410.82	Facility	80	$169.89	$235.00	$410.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $118.92 / $164.50 / $287.57	Facility	AS	$118.92	$164.50	$287.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $857.00 / $1,086.00 / $1,556.00	Professional		$857.00	$1,086.00	$1,556.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $502.04 / $657.84 / $2,230.00	Facility		$502.04	$657.84	$2,230.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $685.88 / $984.97 / $3,683.15	Professional		$685.88	$984.97	$3,683.15
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 $571.83 / $925.19 / $1,654.30	Professional		$571.83	$925.19	$1,654.30