Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.48 / $5,412.00 / $11,024.00	Facility		$352.48	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.48 / $388.11 / $876.36	Professional		$352.48	$388.11	$876.36
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 / $399.63	Professional		$0.02	$0.02	$399.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,795.00 / $3,714.00 / $6,608.00	Professional		$2,795.00	$3,714.00	$6,608.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.85 / $861.42 / $1,062.42	Professional		$717.85	$861.42	$1,062.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.94 / $511.01 / $990.29	Facility		$281.94	$511.01	$990.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $853.00 / $1,197.00 / $1,714.32	Professional		$853.00	$1,197.00	$1,714.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $424.24 / $821.57 / $9,929.00	Facility		$424.24	$821.57	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $424.24 / $821.57 / $9,929.00	Professional		$424.24	$821.57	$9,929.00
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 $307.55 / $501.73 / $762.80	Professional		$307.55	$501.73	$762.80