Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.81 / $5,412.00 / $11,425.00	Facility		$1,003.81	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.72 / $936.83 / $1,260.77	Professional		$819.72	$936.83	$1,260.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $834.69 / $1,067.39 / $1,764.71	Professional		$834.69	$1,067.39	$1,764.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,027.67 / $1,069.04 / $17,559.00	Professional		$1,027.67	$1,069.04	$17,559.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.15 / $1,100.99 / $1,298.21	Professional		$860.15	$1,100.99	$1,298.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $882.25 / $1,174.46 / $1,714.40	Facility		$882.25	$1,174.46	$1,714.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,112.00 / $1,253.00 / $1,742.00	Professional		$1,112.00	$1,253.00	$1,742.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $879.20 / $1,149.02 / $3,901.24	Facility		$879.20	$1,149.02	$3,901.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $879.20 / $1,149.02 / $3,901.24	Professional		$879.20	$1,149.02	$3,901.24
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $12,350.00 / $26,537.00	Facility		$7,381.00	$12,350.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.78 / $1,116.44 / $1,718.88	Professional		$697.78	$1,116.44	$1,718.88