Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,390.00 / $8,140.91 / $22,933.03	Facility		$4,390.00	$8,140.91	$22,933.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.43 / $2,208.81 / $3,633.00	Professional		$1,417.43	$2,208.81	$3,633.00
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 / $7,889.00 / $9,638.00	Professional		$5,517.00	$7,889.00	$9,638.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $526.00 / $925.00	Facility		$490.00	$526.00	$925.00
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 $2,470.00 / $2,470.00 / $2,470.00	Facility		$2,470.00	$2,470.00	$2,470.00
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 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00