Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.48 / $5,048.00 / $10,767.00	Facility		$770.48	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.14 / $768.15 / $770.48	Professional		$275.14	$768.15	$770.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,605.24 / $2,061.84 / $2,812.64	Professional		$1,605.24	$2,061.84	$2,812.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,517.00 / $19,314.00 / $25,865.00	Professional		$5,517.00	$19,314.00	$25,865.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.09 / $284.50 / $344.75	Professional		$237.09	$284.50	$344.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.33 / $770.48 / $1,173.44	Facility		$257.33	$770.48	$1,173.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $344.00 / $585.41 / $1,222.00	Professional		$344.00	$585.41	$1,222.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $686.43 / $917.54 / $6,585.00	Facility		$686.43	$917.54	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $686.43 / $917.54 / $6,585.00	Professional		$686.43	$917.54	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.88 / $952.56 / $1,430.56	Professional		$578.88	$952.56	$1,430.56