Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,037.00 / $9,594.00 / $15,742.00	Facility		$4,037.00	$9,594.00	$15,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,428.00 / $6,705.00 / $11,987.00	Professional		$2,428.00	$6,705.00	$11,987.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,786.00 / $13,345.00 / $14,686.00	Facility		$10,786.00	$13,345.00	$14,686.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.71 / $224.86 / $260.43	Professional		$195.71	$224.86	$260.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.40 / $6,426.50 / $10,513.40	Professional		$243.40	$6,426.50	$10,513.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,122.00 / $8,122.00 / $10,523.00	Facility		$8,122.00	$8,122.00	$10,523.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $212.96 / $262.66	Professional		$177.47	$212.96	$262.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.88 / $230.75 / $324.35	Facility		$172.88	$230.75	$324.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $336.00 / $436.32	Professional		$240.00	$336.00	$436.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.89 / $242.19 / $465.69	Facility		$186.89	$242.19	$465.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.89 / $242.19 / $465.69	Professional		$186.89	$242.19	$465.69
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $22,621.00 / $40,876.00	Facility		$12,301.00	$22,621.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $246.39 / $389.78	Professional		$164.38	$246.39	$389.78