Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.16 / $6,146.00 / $14,867.45	Facility		$1,122.16	$6,146.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.36 / $1,122.16 / $1,154.35	Professional		$769.36	$1,122.16	$1,154.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,600.13 / $3,344.48 / $4,661.55	Professional		$2,600.13	$3,344.48	$4,661.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,369.00 / $12,325.00 / $14,393.00	Professional		$4,369.00	$12,325.00	$14,393.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $852.04 / $1,022.44 / $1,238.97	Professional		$852.04	$1,022.44	$1,238.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $815.52 / $1,223.99 / $1,735.03	Facility		$815.52	$1,223.99	$1,735.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,268.00 / $2,058.05 / $2,218.00	Professional		$1,268.00	$2,058.05	$2,218.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $945.34 / $1,872.09 / $9,210.00	Facility		$945.34	$1,872.09	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $945.34 / $1,872.09 / $9,210.00	Professional		$945.34	$1,872.09	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $869.86 / $1,600.47 / $2,207.60	Professional		$869.86	$1,600.47	$2,207.60