Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.46 / $5,360.00 / $9,347.59	Facility		$1,129.46	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.58 / $891.14 / $1,526.64	Professional		$698.58	$891.14	$1,526.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.63 / $1,026.80 / $1,451.07	Professional		$807.63	$1,026.80	$1,451.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $949.79 / $1,862.54 / $6,694.00	Professional		$949.79	$1,862.54	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.47 / $992.47 / $992.47	Facility		$992.47	$992.47	$992.47
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.13 / $99.13 / $99.13	Facility	AS	$99.13	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.83 / $1,109.10 / $1,687.06	Professional		$800.83	$1,109.10	$1,687.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.84 / $969.22 / $1,249.89	Professional		$823.84	$969.22	$1,249.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $823.23 / $1,148.40 / $1,908.79	Facility		$823.23	$1,148.40	$1,908.79
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $228.08 / $256.80 / $502.72	Facility	80	$228.08	$256.80	$502.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $159.66 / $179.76 / $351.90	Facility	AS	$159.66	$179.76	$351.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,114.00 / $1,282.00 / $1,674.60	Professional		$1,114.00	$1,282.00	$1,674.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $788.53 / $1,106.21 / $9,929.00	Facility		$788.53	$1,106.21	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $788.53 / $1,106.21 / $9,929.00	Professional		$788.53	$1,106.21	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.88 / $865.39 / $1,491.33	Professional		$655.88	$865.39	$1,491.33