Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.48 / $3,633.00 / $8,920.00	Facility		$1,578.48	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.79 / $2,004.00 / $5,743.00	Professional		$762.79	$2,004.00	$5,743.00
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
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,001.37 / $1,001.37 / $1,022.68	Professional		$1,001.37	$1,001.37	$1,022.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,795.00 / $3,714.00 / $4,337.00	Professional		$2,795.00	$3,714.00	$4,337.00
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 $47.00 / $47.00 / $270.00	Facility		$47.00	$47.00	$270.00
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