Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.49 / $2,443.64 / $47,954.60	Facility		$1,226.49	$2,443.64	$47,954.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.57 / $3,700.69 / $28,200.10	Professional		$1,039.57	$3,700.69	$28,200.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.75 / $2,375.79 / $14,429.76	Professional		$674.75	$2,375.79	$14,429.76
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $107.96 / $380.12 / $2,308.76	Professional	80	$107.96	$380.12	$2,308.76
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $94.46 / $332.61 / $2,020.16	Professional	AS	$94.46	$332.61	$2,020.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.12 / $1,071.48 / $13,882.00	Professional		$758.12	$1,071.48	$13,882.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,915.14 / $11,963.66 / $14,954.58	Professional		$9,915.14	$11,963.66	$14,954.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $10,758.51 / $24,979.97	Facility		$826.00	$10,758.51	$24,979.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14,377.00 / $19,921.36 / $30,758.10	Professional		$14,377.00	$19,921.36	$30,758.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $736.71 / $984.46 / $24,191.00	Facility		$736.71	$984.46	$24,191.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10,945.00 / $18,278.40 / $35,121.00	Professional		$10,945.00	$18,278.40	$35,121.00
United Facility/Professional Facility Modifier Low / Median / High Price $31,616.42 / $35,039.86 / $83,737.21	Facility		$31,616.42	$35,039.86	$83,737.21
United Facility/Professional Professional Modifier Low / Median / High Price $13,574.96 / $21,169.46 / $31,431.57	Professional		$13,574.96	$21,169.46	$31,431.57