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 $224.86 / $224.86 / $400.01	Professional		$224.86	$224.86	$400.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $325.35 / $634.42 / $10,306.09	Professional		$325.35	$634.42	$10,306.09
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 $272.79 / $327.33 / $403.73	Professional		$272.79	$327.33	$403.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.48 / $363.48 / $509.30	Facility		$269.48	$363.48	$509.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $368.00 / $529.00 / $662.74	Professional		$368.00	$529.00	$662.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $294.39 / $381.51 / $698.10	Facility		$294.39	$381.51	$698.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $381.51 / $698.10	Professional		$294.39	$381.51	$698.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $29,685.00	Facility		$6,693.00	$11,671.00	$29,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $398.98 / $617.01	Professional		$260.20	$398.98	$617.01