Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $3,355.00 / $8,294.00	Facility		$364.55	$3,355.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $540.02 / $883.50	Professional		$305.69	$540.02	$883.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.79 / $391.04 / $646.50	Professional		$305.79	$391.04	$646.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $352.12 / $370.23 / $2,635.00	Professional		$352.12	$370.23	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.84 / $561.84 / $640.00	Facility		$561.84	$561.84	$640.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $56.18	Facility	AS	$56.18	$56.18	$56.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.63 / $632.04 / $1,118.42	Professional		$339.63	$632.04	$1,118.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $647.09 / $837.41 / $989.66	Professional		$647.09	$837.41	$989.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $670.63 / $1,091.96	Facility		$364.55	$670.63	$1,091.96
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $97.41 / $124.21 / $249.21	Facility	AS	$97.41	$124.21	$249.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $832.00 / $1,198.89	Professional		$718.00	$832.00	$1,198.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $315.95 / $420.78 / $1,554.57	Facility		$315.95	$420.78	$1,554.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $587.64 / $810.38 / $2,772.87	Professional		$587.64	$810.38	$2,772.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,979.00 / $13,217.00	Facility		$3,510.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.99 / $777.46 / $1,223.04	Professional		$476.99	$777.46	$1,223.04