Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.75 / $3,743.00 / $10,767.00	Facility		$935.75	$3,743.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.52 / $911.49 / $1,584.88	Professional		$608.52	$911.49	$1,584.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,007.00 / $8,164.00 / $12,873.00	Facility		$7,007.00	$8,164.00	$12,873.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.03 / $707.79 / $1,170.18	Professional		$547.03	$707.79	$1,170.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $710.58 / $781.64 / $6,433.00	Professional		$710.58	$781.64	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,018.68	Facility		$900.00	$900.00	$1,018.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $101.87 / $101.87 / $101.87	Facility	AS	$101.87	$101.87	$101.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.83 / $1,004.73 / $1,802.25	Professional		$647.83	$1,004.73	$1,802.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $956.32 / $1,231.96 / $1,455.95	Professional		$956.32	$1,231.96	$1,455.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $658.99 / $1,091.32 / $1,621.39	Facility		$658.99	$1,091.32	$1,621.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $214.40 / $268.20 / $497.61	Facility	80	$214.40	$268.20	$497.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $150.08 / $187.74 / $348.32	Facility	AS	$150.08	$187.74	$348.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,086.00 / $1,316.00 / $1,883.00	Professional		$1,086.00	$1,316.00	$1,883.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $593.85 / $834.61 / $2,492.94	Facility		$593.85	$834.61	$2,492.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $847.03 / $1,217.02 / $4,319.04	Professional		$847.03	$1,217.02	$4,319.04
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 $735.15 / $1,128.45 / $1,921.17	Professional		$735.15	$1,128.45	$1,921.17