Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.80 / $2,031.71 / $37,226.30	Facility		$1,023.80	$2,031.71	$37,226.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.90 / $3,079.48 / $22,001.40	Professional		$864.90	$3,079.48	$22,001.40
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 $562.51 / $1,985.71 / $11,299.93	Professional		$562.51	$1,985.71	$11,299.93
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $90.00 / $317.70 / $1,807.98	Professional	80	$90.00	$317.70	$1,807.98
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $78.75 / $278.00 / $1,581.99	Professional	AS	$78.75	$278.00	$1,581.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $634.38 / $889.49 / $6,694.00	Professional		$634.38	$889.49	$6,694.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,763.01 / $9,364.70 / $11,705.88	Professional		$7,763.01	$9,364.70	$11,705.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $687.04 / $8,423.52 / $18,474.62	Facility		$687.04	$8,423.52	$18,474.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11,256.00 / $14,704.98 / $22,772.35	Professional		$11,256.00	$14,704.98	$22,772.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $610.16 / $816.96 / $13,902.00	Facility		$610.16	$816.96	$13,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9,929.00 / $13,656.29 / $24,369.77	Professional		$9,929.00	$13,656.29	$24,369.77
United Facility/Professional Professional Modifier Low / Median / High Price $10,555.19 / $16,580.98 / $26,179.81	Professional		$10,555.19	$16,580.98	$26,179.81