Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.99 / $5,048.00 / $9,539.00	Facility		$1,087.99	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $3,633.00 / $8,294.00	Professional		$676.00	$3,633.00	$8,294.00
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 $690.00 / $2,635.00 / $3,426.00	Professional		$690.00	$2,635.00	$3,426.00
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 $153.75 / $153.75 / $153.75	Professional		$153.75	$153.75	$153.75
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 $502.30 / $502.30 / $502.30	Facility		$502.30	$502.30	$502.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,251.00 / $9,929.00	Facility		$620.00	$2,251.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $2,251.00 / $9,929.00	Professional		$620.00	$2,251.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,560.00 / $3,499.00	Facility		$250.00	$1,560.00	$3,499.00