Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.36 / $5,693.00 / $12,340.61	Facility		$1,491.36	$5,693.00	$12,340.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.79 / $633.60 / $1,211.94	Professional		$574.79	$633.60	$1,211.94
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 $526.14 / $672.82 / $1,112.36	Professional		$526.14	$672.82	$1,112.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $620.20 / $643.29 / $4,646.00	Professional		$620.20	$643.29	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.04 / $642.04 / $776.00	Facility		$642.04	$642.04	$776.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.35 / $793.54 / $1,230.00	Professional		$556.35	$793.54	$1,230.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.78 / $695.29 / $821.70	Professional		$542.78	$695.29	$821.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $593.09 / $794.45 / $1,292.18	Facility		$593.09	$794.45	$1,292.18
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,143.96 / $1,523.45 / $2,373.19	Facility	50	$1,143.96	$1,523.45	$2,373.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $106.77 / $142.19 / $221.50	Facility	AS	$106.77	$142.19	$221.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $813.00 / $1,143.00	Professional		$700.00	$813.00	$1,143.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $571.86 / $778.99 / $2,444.04	Facility		$571.86	$778.99	$2,444.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $571.86 / $778.99 / $2,444.04	Professional		$571.86	$778.99	$2,444.04
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 $467.43 / $744.23 / $1,170.63	Professional		$467.43	$744.23	$1,170.63