Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.45 / $5,384.50 / $23,601.00	Facility		$362.45	$5,384.50	$23,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.77 / $239.88 / $417.89	Professional		$191.77	$239.88	$417.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.61 / $247.59 / $409.34	Professional		$193.61	$247.59	$409.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $237.77 / $237.77 / $910.00	Professional		$237.77	$237.77	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.34 / $239.34 / $1,700.00	Facility		$239.34	$239.34	$1,700.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $146.80 / $146.80 / $146.80	Facility	62	$146.80	$146.80	$146.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.49 / $23.49 / $23.49	Facility	AS	$23.49	$23.49	$23.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.14 / $275.02 / $467.18	Professional		$200.14	$275.02	$467.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.35 / $250.87 / $296.48	Professional		$195.35	$250.87	$296.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.21 / $285.68 / $468.90	Facility		$213.21	$285.68	$468.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $53.08 / $77.65 / $121.27	Facility	80	$53.08	$77.65	$121.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $37.15 / $54.35 / $84.89	Facility	AS	$37.15	$54.35	$84.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $301.00 / $405.00	Professional		$266.00	$301.00	$405.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.43 / $279.35 / $901.73	Facility		$204.43	$279.35	$901.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $279.35 / $901.73	Professional		$204.43	$279.35	$901.73
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,148.00 / $2,375.00	Facility		$231.00	$1,148.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.05 / $276.49 / $430.00	Professional		$171.05	$276.49	$430.00