Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.64 / $3,912.00 / $14,187.00	Facility		$633.64	$3,912.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.48 / $406.12 / $730.55	Professional		$343.48	$406.12	$730.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49,208.00 / $62,509.00 / $67,760.00	Facility		$49,208.00	$62,509.00	$67,760.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.77 / $404.00 / $670.59	Professional		$320.77	$404.00	$670.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $382.73 / $434.76 / $9,211.00	Professional		$382.73	$434.76	$9,211.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.23 / $387.23 / $572.00	Facility		$387.23	$387.23	$572.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.33 / $38.33 / $38.33	Facility	AS	$38.33	$38.33	$38.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.47 / $501.47 / $770.52	Professional		$333.47	$501.47	$770.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $412.74 / $484.76	Professional		$322.45	$412.74	$484.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.73 / $498.42 / $800.48	Facility		$372.73	$498.42	$800.48
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $91.33 / $133.22 / $202.91	Facility	80	$91.33	$133.22	$202.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $63.93 / $93.26 / $142.03	Facility	AS	$63.93	$93.26	$142.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $520.00 / $715.00	Professional		$456.00	$520.00	$715.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $362.54 / $506.81 / $1,690.32	Facility		$362.54	$506.81	$1,690.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $362.54 / $506.81 / $1,690.32	Professional		$362.54	$506.81	$1,690.32
United Facility/Professional Facility Modifier Low / Median / High Price $16,341.00 / $40,200.00 / $81,661.00	Facility		$16,341.00	$40,200.00	$81,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.35 / $468.95 / $707.33	Professional		$281.35	$468.95	$707.33