Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $8,662.00 / $14,819.20	Facility		$1,538.00	$8,662.00	$14,819.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $55.36 / $357.37	Professional		$47.75	$55.36	$357.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $371.50	Professional		$0.02	$0.02	$371.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10,666.00 / $12,564.00 / $14,393.00	Professional		$10,666.00	$12,564.00	$14,393.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.59 / $426.71 / $526.27	Professional		$355.59	$426.71	$526.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $93.56 / $507.47	Facility		$55.36	$93.56	$507.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $480.00 / $877.30	Professional		$88.00	$480.00	$877.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.32 / $68.70 / $13,902.00	Facility		$52.32	$68.70	$13,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $68.70 / $13,902.00	Professional		$52.32	$68.70	$13,902.00
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 $45.30 / $73.81 / $112.36	Professional		$45.30	$73.81	$112.36