Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.25 / $2,442.00 / $7,675.77	Facility		$546.25	$2,442.00	$7,675.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $563.02 / $934.33	Professional		$347.68	$563.02	$934.33
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 $357.80 / $462.95 / $765.39	Professional		$357.80	$462.95	$765.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $409.18 / $441.91 / $5,113.00	Professional		$409.18	$441.91	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $661.09	Facility		$572.00	$572.00	$661.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.11 / $66.11 / $66.11	Facility	AS	$66.11	$66.11	$66.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.95 / $586.07 / $1,062.16	Professional		$398.95	$586.07	$1,062.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.65 / $698.38 / $825.36	Professional		$542.65	$698.38	$825.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $408.63 / $638.78 / $971.47	Facility		$408.63	$638.78	$971.47
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $129.22 / $171.00 / $281.68	Facility	80	$129.22	$171.00	$281.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $90.45 / $119.70 / $197.17	Facility	AS	$90.45	$119.70	$197.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $783.70 / $1,063.00	Professional		$672.00	$783.70	$1,063.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $363.52 / $493.10 / $1,770.00	Facility		$363.52	$493.10	$1,770.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $507.07 / $704.02 / $2,438.71	Professional		$507.07	$704.02	$2,438.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.30 / $646.16 / $1,080.14	Professional		$425.30	$646.16	$1,080.14