Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,516.00 / $8,294.00	Facility		$568.00	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.36 / $361.84 / $601.35	Professional		$289.36	$361.84	$601.35
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 $302.39 / $386.71 / $639.34	Professional		$302.39	$386.71	$639.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $340.97 / $368.25 / $3,293.00	Professional		$340.97	$368.25	$3,293.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $369.75 / $420.00	Facility		$369.75	$369.75	$420.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $36.69 / $36.69 / $36.69	Facility	AS	$36.69	$36.69	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.99 / $413.78 / $731.92	Professional		$307.99	$413.78	$731.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $403.15 / $471.04	Professional		$314.95	$403.15	$471.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $333.45 / $439.44 / $662.17	Facility		$333.45	$439.44	$662.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $81.36 / $114.86 / $194.73	Facility	80	$81.36	$114.86	$194.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $56.95 / $80.40 / $136.31	Facility	AS	$56.95	$80.40	$136.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $450.50 / $623.00	Professional		$399.00	$450.50	$623.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $426.31 / $1,515.13	Facility		$315.70	$426.31	$1,515.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $426.31 / $1,515.13	Professional		$315.70	$426.31	$1,515.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.85 / $397.22 / $630.20	Professional		$251.85	$397.22	$630.20