Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,428.00 / $9,338.00 / $15,742.00	Facility		$2,428.00	$9,338.00	$15,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.86 / $1,023.63 / $1,026.10	Professional		$826.86	$1,023.63	$1,026.10
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 $445.62 / $565.10 / $780.16	Professional		$445.62	$565.10	$780.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14,876.00 / $19,314.00 / $25,865.00	Professional		$14,876.00	$19,314.00	$25,865.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.49 / $1,026.58 / $1,266.13	Professional		$855.49	$1,026.58	$1,266.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.46 / $954.80 / $1,396.34	Facility		$744.46	$954.80	$1,396.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $863.00 / $1,577.00 / $1,917.07	Professional		$863.00	$1,577.00	$1,917.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $914.12 / $1,734.67 / $27,892.00	Facility		$914.12	$1,734.67	$27,892.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $914.12 / $1,734.67 / $27,892.00	Professional		$914.12	$1,734.67	$27,892.00
United Facility/Professional Facility Modifier Low / Median / High Price $27,644.00 / $54,429.00 / $115,563.00	Facility		$27,644.00	$54,429.00	$115,563.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.05 / $1,307.04 / $1,989.16	Professional		$812.05	$1,307.04	$1,989.16