Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,110.69 / $7,849.00 / $15,742.00	Facility		$2,110.69	$7,849.00	$15,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.24 / $892.94 / $10,124.45	Professional		$882.24	$892.94	$10,124.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.54 / $829.12 / $1,168.09	Professional		$651.54	$829.12	$1,168.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $768.13 / $1,036.98 / $15,962.00	Professional		$768.13	$1,036.98	$15,962.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,470.19 / $12,564.23 / $15,495.88	Professional		$10,470.19	$12,564.23	$15,495.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $892.94 / $1,176.92 / $12,916.99	Facility		$892.94	$1,176.92	$12,916.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $574.61 / $15,394.00 / $22,918.63	Professional		$574.61	$15,394.00	$22,918.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $945.96 / $5,127.39 / $16,954.00	Facility		$945.96	$5,127.39	$16,954.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $945.96 / $5,127.39 / $16,954.00	Professional		$945.96	$5,127.39	$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 $587.89 / $854.33 / $1,632.51	Professional		$587.89	$854.33	$1,632.51