Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $10,368.76	Facility		$981.75	$981.75	$10,368.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.65 / $981.75 / $981.75	Professional		$958.65	$981.75	$981.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.10 / $1,255.66 / $2,023.34	Facility		$595.10	$1,255.66	$2,023.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $924.00 / $1,136.15	Professional		$924.00	$924.00	$1,136.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.66 / $1,119.20 / $1,316.70	Professional		$932.66	$1,119.20	$1,316.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $1,155.00 / $1,619.89	Facility		$981.75	$1,155.00	$1,619.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $9,929.00 / $10,945.00	Facility		$42.50	$9,929.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $9,929.00 / $10,945.00	Professional		$42.50	$9,929.00	$10,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,155.00	Professional		$962.50	$962.50	$1,155.00