Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,412.00 / $14,187.00	Facility		$3,633.00	$5,412.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.00 / $3,633.00 / $8,294.00	Professional		$707.00	$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 / $6,433.00 / $8,031.00	Professional		$690.00	$6,433.00	$8,031.00
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 $837.17 / $837.17 / $837.17	Facility		$837.17	$837.17	$837.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,453.73 / $5,453.73 / $8,326.84	Professional		$5,453.73	$5,453.73	$8,326.84
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 $311.00 / $1,597.00 / $3,516.00	Facility		$311.00	$1,597.00	$3,516.00