Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.43 / $5,040.00 / $10,769.00	Facility		$1,116.43	$5,040.00	$10,769.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.35 / $1,187.54 / $2,277.21	Professional		$989.35	$1,187.54	$2,277.21
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 $991.43 / $1,267.82 / $2,096.08	Professional		$991.43	$1,267.82	$2,096.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,138.86 / $1,204.50 / $9,951.00	Professional		$1,138.86	$1,204.50	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,211.14	Facility		$900.00	$900.00	$1,211.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.27 / $120.27 / $120.27	Facility	AS	$120.27	$120.27	$120.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.82 / $1,403.46 / $2,347.52	Professional		$1,048.82	$1,403.46	$2,347.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,020.12 / $1,305.75 / $1,535.98	Professional		$1,020.12	$1,305.75	$1,535.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,113.08 / $1,414.47 / $2,043.40	Facility		$1,113.08	$1,414.47	$2,043.40
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $266.35 / $354.40 / $549.03	Facility	80	$266.35	$354.40	$549.03
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $186.45 / $248.08 / $384.32	Facility	AS	$186.45	$248.08	$384.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,317.00 / $1,519.30 / $2,091.00	Professional		$1,317.00	$1,519.30	$2,091.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,025.56 / $1,366.95 / $4,569.87	Facility		$1,025.56	$1,366.95	$4,569.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,025.56 / $1,366.95 / $4,569.87	Professional		$1,025.56	$1,366.95	$4,569.87
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 $846.56 / $1,347.59 / $2,052.15	Professional		$846.56	$1,347.59	$2,052.15