Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.34 / $5,412.00 / $11,024.00	Facility		$823.34	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.92 / $823.34 / $866.77	Professional		$696.92	$823.34	$866.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $417.88	Professional		$0.02	$0.02	$417.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12,701.00 / $17,559.00 / $22,492.00	Professional		$12,701.00	$17,559.00	$22,492.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.87 / $915.54 / $1,544.31	Professional		$562.87	$915.54	$1,544.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.54 / $803.45 / $973.55	Professional		$669.54	$803.45	$973.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $808.09 / $881.62 / $1,391.44	Facility		$808.09	$881.62	$1,391.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $918.00 / $1,282.00 / $1,714.32	Professional		$918.00	$1,282.00	$1,714.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $748.50 / $988.85 / $9,929.00	Facility		$748.50	$988.85	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $748.50 / $988.85 / $9,929.00	Professional		$748.50	$988.85	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.39 / $1,072.54 / $1,661.19	Professional		$663.39	$1,072.54	$1,661.19