Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $5,048.00 / $10,767.00	Facility		$791.70	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.21 / $897.44 / $1,250.85	Professional		$713.21	$897.44	$1,250.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $1,988.00 / $3,461.25	Professional		$1,775.00	$1,988.00	$3,461.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.04 / $1,269.35 / $1,556.67	Professional		$691.04	$1,269.35	$1,556.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,777.00 / $3,451.00 / $3,451.00	Professional		$2,777.00	$3,451.00	$3,451.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $839.20 / $1,448.81	Facility		$791.70	$839.20	$1,448.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,726.00 / $1,875.00 / $1,979.00	Professional		$1,726.00	$1,875.00	$1,979.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $976.43 / $1,621.00 / $9,929.00	Facility		$976.43	$1,621.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $976.43 / $1,621.00 / $9,929.00	Professional		$976.43	$1,621.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.50 / $1,348.05 / $2,096.40	Professional		$832.50	$1,348.05	$2,096.40