Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,304.00 / $6,375.73 / $14,910.00	Facility		$3,304.00	$6,375.73	$14,910.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.79 / $2,065.00 / $7,597.10	Professional		$534.79	$2,065.00	$7,597.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,517.00 / $15,406.00 / $17,992.00	Professional		$5,517.00	$15,406.00	$17,992.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $526.00 / $925.00	Facility		$490.00	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,504.25 / $4,504.25 / $4,504.25	Professional		$4,504.25	$4,504.25	$4,504.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Professional		$525.00	$525.00	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $1,600.00 / $1,630.00	Facility		$1,600.00	$1,600.00	$1,630.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,400.00 / $9,040.00 / $15,265.00	Facility		$3,400.00	$9,040.00	$15,265.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $9,040.00 / $15,265.00	Professional		$3,400.00	$9,040.00	$15,265.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,439.00 / $21,401.00	Facility		$1,745.00	$10,439.00	$21,401.00