Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.14 / $5,412.00 / $10,767.00	Facility		$1,523.14	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.47 / $1,523.14 / $2,533.05	Professional		$1,483.47	$1,523.14	$2,533.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.98 / $1,197.45 / $1,687.01	Professional		$940.98	$1,197.45	$1,687.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $816.17 / $1,101.83 / $22,577.00	Professional		$816.17	$1,101.83	$22,577.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,142.43 / $6,170.93 / $7,610.81	Professional		$5,142.43	$6,170.93	$7,610.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,523.14 / $1,980.08 / $3,596.93	Facility		$1,523.14	$1,980.08	$3,596.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $901.69 / $6,535.00 / $7,112.45	Professional		$901.69	$6,535.00	$7,112.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,597.15 / $3,021.04 / $16,954.00	Facility		$1,597.15	$3,021.04	$16,954.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,597.15 / $3,021.04 / $16,954.00	Professional		$1,597.15	$3,021.04	$16,954.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.36 / $1,334.49 / $3,055.02	Professional		$966.36	$1,334.49	$3,055.02