Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.04 / $1,825.88 / $15,802.60	Facility		$923.04	$1,825.88	$15,802.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.66 / $2,769.13 / $9,955.62	Professional		$776.66	$2,769.13	$9,955.62
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 $509.75 / $1,794.08 / $5,340.95	Professional		$509.75	$1,794.08	$5,340.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.64 / $822.88 / $15,962.00	Professional		$602.64	$822.88	$15,962.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,680.71 / $4,423.82 / $5,529.78	Professional		$3,680.71	$4,423.82	$5,529.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.96 / $3,997.89 / $9,304.81	Facility		$616.96	$3,997.89	$9,304.81
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,411.27 / $10,803.80 / $14,980.87	Facility	50	$1,411.27	$10,803.80	$14,980.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $131.72 / $1,008.35 / $1,398.21	Facility	AS	$131.72	$1,008.35	$1,398.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,337.00 / $7,187.22 / $11,257.40	Professional		$5,337.00	$7,187.22	$11,257.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $552.70 / $739.81 / $9,929.00	Facility		$552.70	$739.81	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,718.34 / $6,781.97 / $11,669.35	Professional		$4,718.34	$6,781.97	$11,669.35
United Facility/Professional Professional Modifier Low / Median / High Price $4,598.43 / $7,855.70 / $10,803.21	Professional		$4,598.43	$7,855.70	$10,803.21