Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,738.19 / $8,892.45	Facility		$945.00	$3,738.19	$8,892.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $261.79 / $937.68	Professional		$175.04	$261.79	$937.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $200.43 / $334.59	Professional		$156.72	$200.43	$334.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.95 / $206.10 / $916.00	Professional		$187.95	$206.10	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.23 / $194.23 / $640.00	Facility		$194.23	$194.23	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $19.01 / $19.01 / $19.01	Facility	AS	$19.01	$19.01	$19.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.51 / $268.14 / $873.40	Professional		$166.51	$268.14	$873.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.30 / $206.46 / $240.51	Professional		$161.30	$206.46	$240.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.15 / $252.06 / $1,131.36	Facility		$179.15	$252.06	$1,131.36
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $46.02 / $91.50 / $268.39	Facility	80	$46.02	$91.50	$268.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $32.22 / $64.05 / $187.88	Facility	AS	$32.22	$64.05	$187.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $253.85 / $991.00	Professional		$221.00	$253.85	$991.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.92 / $313.50 / $1,114.16	Facility		$175.92	$313.50	$1,114.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.92 / $313.50 / $1,114.16	Professional		$175.92	$313.50	$1,114.16
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $13,159.00	Facility		$231.00	$1,045.00	$13,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $271.86 / $918.16	Professional		$143.82	$271.86	$918.16