Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.57 / $6,470.00 / $14,867.45	Facility		$650.57	$6,470.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.47 / $649.98 / $650.57	Professional		$570.47	$649.98	$650.57
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 $413.31 / $525.96 / $723.59	Professional		$413.31	$525.96	$723.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $597.17 / $597.17 / $1,164.50	Professional		$597.17	$597.17	$1,164.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.32 / $1,004.79 / $1,239.23	Professional		$837.32	$1,004.79	$1,239.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $593.54 / $715.63 / $1,098.47	Facility		$593.54	$715.63	$1,098.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.00 / $1,049.00 / $1,437.10	Professional		$933.00	$1,049.00	$1,437.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $670.43 / $1,449.75 / $57,072.00	Facility		$670.43	$1,449.75	$57,072.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $670.43 / $1,449.75 / $57,072.00	Professional		$670.43	$1,449.75	$57,072.00
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 $503.65 / $811.73 / $1,203.50	Professional		$503.65	$811.73	$1,203.50