Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $8,003.00 / $14,819.20	Facility		$1,244.00	$8,003.00	$14,819.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.15 / $575.77 / $577.47	Professional		$498.15	$575.77	$577.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $520.05	Professional		$0.02	$0.02	$520.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,366.00 / $5,804.00 / $6,779.00	Professional		$4,366.00	$5,804.00	$6,779.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $771.16 / $925.39 / $1,141.32	Professional		$771.16	$925.39	$1,141.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $517.98 / $612.12 / $973.05	Facility		$517.98	$612.12	$973.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $916.00 / $1,179.96	Professional		$609.00	$916.00	$1,179.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $524.98 / $685.18 / $7,420.00	Facility		$524.98	$685.18	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.98 / $685.18 / $7,420.00	Professional		$524.98	$685.18	$7,420.00
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 $472.51 / $769.81 / $1,106.39	Professional		$472.51	$769.81	$1,106.39