Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.25 / $3,428.50 / $9,969.33	Facility		$911.25	$3,428.50	$9,969.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.73 / $665.73 / $1,240.36	Professional		$539.73	$665.73	$1,240.36
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 $553.48 / $723.51 / $1,196.17	Professional		$553.48	$723.51	$1,196.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $657.89 / $710.52 / $3,448.00	Professional		$657.89	$710.52	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $691.89	Facility		$572.00	$572.00	$691.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $68.64 / $68.64 / $68.64	Facility	AS	$68.64	$68.64	$68.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.05 / $722.81 / $1,350.67	Professional		$542.05	$722.81	$1,350.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.42 / $752.75 / $889.62	Professional		$585.42	$752.75	$889.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $613.63 / $778.90 / $1,168.02	Facility		$613.63	$778.90	$1,168.02
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,048.95 / $1,375.49 / $2,696.48	Facility	50	$1,048.95	$1,375.49	$2,696.48
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $97.90 / $128.38 / $251.67	Facility	AS	$97.90	$128.38	$251.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $701.14 / $828.00 / $1,161.00	Professional		$701.14	$828.00	$1,161.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $562.54 / $741.65 / $2,587.89	Facility		$562.54	$741.65	$2,587.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $562.54 / $741.65 / $2,587.89	Professional		$562.54	$741.65	$2,587.89
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 $442.12 / $695.23 / $1,159.49	Professional		$442.12	$695.23	$1,159.49