Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,065.00 / $5,412.00 / $8,920.00	Facility		$2,065.00	$5,412.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $517.50	Professional		$517.50	$517.50	$517.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.61 / $1,059.02 / $1,476.06	Professional		$841.61	$1,059.02	$1,476.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,805.00 / $3,519.75	Professional		$794.00	$1,805.00	$3,519.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.95 / $583.11 / $583.11	Professional		$462.95	$583.11	$583.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.00 / $1,334.00 / $1,334.00	Professional		$1,073.00	$1,334.00	$1,334.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $548.54 / $874.58	Facility		$517.50	$548.54	$874.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $692.40 / $702.00 / $1,545.60	Professional		$692.40	$702.00	$1,545.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $616.15 / $9,040.00 / $15,265.00	Facility		$616.15	$9,040.00	$15,265.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $616.15 / $9,040.00 / $15,265.00	Professional		$616.15	$9,040.00	$15,265.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00