Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.64 / $2,561.00 / $8,294.00	Facility		$400.64	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.81 / $380.30 / $520.04	Professional		$316.81	$380.30	$520.04
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 $339.72 / $444.09 / $734.21	Professional		$339.72	$444.09	$734.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.06 / $424.80 / $4,039.00	Professional		$400.06	$424.80	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $424.06	Facility		$420.00	$420.00	$424.06
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $263.31	Facility	62	$263.31	$263.31	$263.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.87 / $442.33 / $815.97	Professional		$341.87	$442.33	$815.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.73 / $459.44 / $542.97	Professional		$357.73	$459.44	$542.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.30 / $467.44 / $717.20	Facility		$380.30	$467.44	$717.20
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $78.00 / $101.80 / $220.42	Facility	80	$78.00	$101.80	$220.42
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $54.60 / $71.26 / $154.29	Facility	AS	$54.60	$71.26	$154.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $501.00 / $714.00	Professional		$431.00	$501.00	$714.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $357.73 / $465.06 / $1,689.13	Facility		$357.73	$465.06	$1,689.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $357.73 / $465.06 / $1,689.13	Professional		$357.73	$465.06	$1,689.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,556.00 / $12,739.00	Facility		$3,651.00	$6,556.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.70 / $425.18 / $690.68	Professional		$265.70	$425.18	$690.68