Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.24 / $5,087.00 / $8,294.00	Facility		$689.24	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.87 / $653.95 / $867.23	Professional		$563.87	$653.95	$867.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.45 / $741.98 / $1,226.71	Professional		$573.45	$741.98	$1,226.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $673.36 / $709.39 / $7,889.00	Professional		$673.36	$709.39	$7,889.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.03 / $767.81 / $907.41	Professional		$599.03	$767.81	$907.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $646.97 / $819.66 / $1,196.73	Facility		$646.97	$819.66	$1,196.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $761.00 / $869.00 / $1,198.00	Professional		$761.00	$869.00	$1,198.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $610.74 / $794.82 / $2,685.11	Facility		$610.74	$794.82	$2,685.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $610.74 / $794.82 / $2,685.11	Professional		$610.74	$794.82	$2,685.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.34 / $756.28 / $1,189.00	Professional		$475.34	$756.28	$1,189.00