Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.61 / $1,493.77 / $10,917.50	Facility		$757.61	$1,493.77	$10,917.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.40 / $2,271.78 / $6,952.85	Professional		$634.40	$2,271.78	$6,952.85
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 $419.21 / $1,475.88 / $3,768.99	Professional		$419.21	$1,475.88	$3,768.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $471.35 / $650.16 / $5,354.00	Professional		$471.35	$650.16	$5,354.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,601.04 / $3,122.70 / $3,903.38	Professional		$2,601.04	$3,122.70	$3,903.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $2,826.20 / $6,427.67	Facility		$505.00	$2,826.20	$6,427.67
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,157.52 / $7,614.94 / $10,337.15	Facility	50	$1,157.52	$7,614.94	$10,337.15
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $108.03 / $710.73 / $964.80	Facility	AS	$108.03	$710.73	$964.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,772.00 / $5,017.87 / $7,922.00	Professional		$3,772.00	$5,017.87	$7,922.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $452.14 / $605.87 / $9,929.00	Facility		$452.14	$605.87	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,360.74 / $4,751.03 / $9,929.00	Professional		$3,360.74	$4,751.03	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,189.32 / $5,401.10 / $7,589.38	Professional		$3,189.32	$5,401.10	$7,589.38