Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,165.95 / $15,488.17	Facility		$645.65	$6,165.95	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,122.02	Professional		$416.87	$602.56	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $22,387.21 / $38,018.94	Facility		$12,882.50	$22,387.21	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $794.33	Professional		$436.52	$549.54	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $912.01	Professional		$537.03	$676.08	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,258.93	Professional		$851.14	$1,023.29	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,202.26	Facility		$501.19	$776.25	$1,202.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $10,000.00 / $63,095.73	Facility		$676.08	$10,000.00	$63,095.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $10,000.00 / $63,095.73	Professional		$676.08	$10,000.00	$63,095.73
United Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $54,954.09 / $114,815.36	Facility		$26,302.68	$54,954.09	$114,815.36
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,288.25	Professional		$501.19	$851.14	$1,288.25