Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,408.67 / $5,048.00 / $10,767.00	Facility		$2,408.67	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.54 / $935.00 / $2,408.67	Professional		$644.54	$935.00	$2,408.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.32 / $2,001.45 / $5,768.00	Facility		$1,312.32	$2,001.45	$5,768.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $123.74 / $174.33	Professional		$97.23	$123.74	$174.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,111.76 / $1,111.76 / $2,167.92	Professional		$1,111.76	$1,111.76	$2,167.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.91 / $613.12 / $766.40	Professional		$510.91	$613.12	$766.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $642.62 / $1,810.86 / $3,131.27	Facility		$642.62	$1,810.86	$3,131.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $791.00 / $1,452.60	Professional		$261.00	$791.00	$1,452.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $284.89 / $1,165.60 / $3,658.00	Facility		$284.89	$1,165.60	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $401.34 / $1,563.40 / $5,095.35	Professional		$401.34	$1,563.40	$5,095.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.85 / $1,126.92 / $1,499.82	Professional		$514.85	$1,126.92	$1,499.82