Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.13 / $1,666.18 / $12,883.60	Facility		$842.13	$1,666.18	$12,883.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.18 / $2,522.96 / $7,625.02	Professional		$707.18	$2,522.96	$7,625.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.71 / $1,563.36 / $3,979.85	Professional		$464.71	$1,563.36	$3,979.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $697.06 / $2,345.05 / $5,969.77	Professional	50	$697.06	$2,345.05	$5,969.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $522.10 / $743.31 / $11,566.00	Professional		$522.10	$743.31	$11,566.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,745.38 / $3,294.46 / $4,117.95	Professional		$2,745.38	$3,294.46	$4,117.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.99 / $2,983.43 / $7,588.80	Facility		$562.99	$2,983.43	$7,588.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,284.09 / $8,033.39 / $12,201.88	Facility	50	$1,284.09	$8,033.39	$12,201.88
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $171.21 / $1,071.11 / $1,626.92	Facility	80	$171.21	$1,071.11	$1,626.92
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $119.85 / $749.78 / $1,138.83	Facility	AS	$119.85	$749.78	$1,138.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,981.00 / $6,027.00 / $9,626.25	Professional		$3,981.00	$6,027.00	$9,626.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $670.74 / $13,902.00	Facility		$501.14	$670.74	$13,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,758.00 / $5,836.39 / $16,695.95	Professional		$3,758.00	$5,836.39	$16,695.95
United Facility/Professional Professional Modifier Low / Median / High Price $3,631.82 / $6,212.80 / $8,924.69	Professional		$3,631.82	$6,212.80	$8,924.69