Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.45 / $5,087.00 / $8,294.00	Facility		$1,028.45	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.01 / $958.88 / $1,293.45	Professional		$835.01	$958.88	$1,293.45
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 $849.90 / $1,091.75 / $1,804.99	Professional		$849.90	$1,091.75	$1,804.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $999.86 / $1,079.84 / $4,117.00	Professional		$999.86	$1,079.84	$4,117.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.35 / $1,126.84 / $1,330.50	Professional		$880.35	$1,126.84	$1,330.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $932.50 / $1,188.06 / $1,728.08	Facility		$932.50	$1,188.06	$1,728.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,126.00 / $1,278.00 / $1,780.00	Professional		$1,126.00	$1,278.00	$1,780.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $883.05 / $1,159.99 / $3,985.94	Facility		$883.05	$1,159.99	$3,985.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $883.05 / $1,159.99 / $3,985.94	Professional		$883.05	$1,159.99	$3,985.94
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,000.00 / $21,639.00	Facility		$6,398.00	$10,000.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.91 / $1,097.32 / $1,703.69	Professional		$692.91	$1,097.32	$1,703.69