Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.52 / $6,470.00 / $14,867.45	Facility		$398.52	$6,470.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.76 / $398.52 / $402.52	Professional		$343.76	$398.52	$402.52
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 $295.05 / $374.15 / $516.54	Professional		$295.05	$374.15	$516.54
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 $347.15 / $416.58 / $513.78	Professional		$347.15	$416.58	$513.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $362.97 / $403.83 / $673.50	Facility		$362.97	$403.83	$673.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $632.00 / $857.06	Professional		$468.00	$632.00	$857.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $362.30 / $472.86 / $21,219.00	Facility		$362.30	$472.86	$21,219.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $362.30 / $472.86 / $21,219.00	Professional		$362.30	$472.86	$21,219.00
United Facility/Professional Facility Modifier Low / Median / High Price $23,191.00 / $54,429.00 / $100,086.00	Facility		$23,191.00	$54,429.00	$100,086.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.06 / $531.32 / $808.73	Professional		$326.06	$531.32	$808.73