Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,226.00 / $5,412.00 / $10,767.00	Facility		$3,226.00	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.95 / $450.00 / $3,633.00	Professional		$380.95	$450.00	$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 $2,236.00 / $3,019.00 / $4,054.00	Professional		$2,236.00	$3,019.00	$4,054.00
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 $1,395.28 / $1,395.28 / $1,395.28	Facility		$1,395.28	$1,395.28	$1,395.28
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