Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $3,988.00 / $14,342.57	Facility		$1,244.00	$3,988.00	$14,342.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.20 / $695.39 / $1,218.57	Professional		$545.20	$695.39	$1,218.57
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 $554.41 / $708.97 / $1,183.55	Professional		$554.41	$708.97	$1,183.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $669.41 / $691.23 / $5,113.00	Professional		$669.41	$691.23	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $675.90	Facility		$640.00	$640.00	$675.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.26 / $67.26 / $67.26	Facility	AS	$67.26	$67.26	$67.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.95 / $798.62 / $1,361.29	Professional		$591.95	$798.62	$1,361.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.50 / $731.52 / $863.89	Professional		$571.50	$731.52	$863.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $624.35 / $820.04 / $1,272.56	Facility		$624.35	$820.04	$1,272.56
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $153.08 / $210.96 / $321.02	Facility	80	$153.08	$210.96	$321.02
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $107.16 / $147.68 / $224.71	Facility	AS	$107.16	$147.68	$224.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $771.00 / $874.00 / $1,227.00	Professional		$771.00	$874.00	$1,227.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $593.99 / $794.40 / $2,950.33	Facility		$593.99	$794.40	$2,950.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $593.99 / $794.40 / $2,950.33	Professional		$593.99	$794.40	$2,950.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.81 / $785.87 / $1,190.56	Professional		$486.81	$785.87	$1,190.56