Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.31 / $1,348.81 / $9,090.61	Facility		$683.31	$1,348.81	$9,090.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.03 / $2,043.00 / $5,880.38	Professional		$573.03	$2,043.00	$5,880.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.21 / $1,273.55 / $3,242.07	Professional		$377.21	$1,273.55	$3,242.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $565.80 / $1,910.33 / $4,863.10	Professional	50	$565.80	$1,910.33	$4,863.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.22 / $607.69 / $11,566.00	Professional		$446.22	$607.69	$11,566.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,243.37 / $2,692.04 / $3,364.60	Professional		$2,243.37	$2,692.04	$3,364.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $455.68 / $2,437.44 / $5,347.12	Facility		$455.68	$2,437.44	$5,347.12
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,043.26 / $6,528.88 / $8,598.87	Facility	50	$1,043.26	$6,528.88	$8,598.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,253.00 / $4,136.51 / $6,528.00	Professional		$3,253.00	$4,136.51	$6,528.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $410.42 / $549.28 / $9,929.00	Facility		$410.42	$549.28	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,838.34 / $4,019.22 / $9,929.00	Professional		$2,838.34	$4,019.22	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,679.13 / $4,493.13 / $6,565.91	Professional		$2,679.13	$4,493.13	$6,565.91