Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.00 / $5,042.39 / $8,920.00	Facility		$1,346.00	$5,042.39	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $251.72 / $3,633.00	Professional		$239.83	$251.72	$3,633.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,007.00 / $8,164.00 / $12,873.00	Facility		$7,007.00	$8,164.00	$12,873.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,600.00 / $4,039.00 / $5,354.00	Professional		$2,600.00	$4,039.00	$5,354.00
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 $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
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 $111.62 / $168.00 / $168.00	Facility		$111.62	$168.00	$168.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,072.00 / $3,147.19 / $9,929.00	Facility		$1,072.00	$3,147.19	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,072.00 / $3,147.19 / $9,929.00	Professional		$1,072.00	$3,147.19	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00