Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.57 / $2,372.30 / $37,270.50	Facility		$1,187.57	$2,372.30	$37,270.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.49 / $3,596.26 / $22,138.70	Professional		$1,008.49	$3,596.26	$22,138.70
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 $653.00 / $2,298.21 / $11,497.58	Professional		$653.00	$2,298.21	$11,497.58
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $104.48 / $367.71 / $1,839.61	Professional	80	$104.48	$367.71	$1,839.61
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $91.42 / $321.75 / $1,609.66	Professional	AS	$91.42	$321.75	$1,609.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $733.44 / $1,039.57 / $13,882.00	Professional		$733.44	$1,039.57	$13,882.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,928.99 / $9,557.58 / $11,946.98	Professional		$7,928.99	$9,557.58	$11,946.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $802.34 / $8,603.67 / $18,311.65	Facility		$802.34	$8,603.67	$18,311.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11,497.00 / $14,495.14 / $22,446.80	Professional		$11,497.00	$14,495.14	$22,446.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $713.67 / $954.20 / $13,902.00	Facility		$713.67	$954.20	$13,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9,929.00 / $13,609.34 / $24,643.25	Professional		$9,929.00	$13,609.34	$24,643.25
United Facility/Professional Professional Modifier Low / Median / High Price $10,262.36 / $16,167.33 / $24,538.66	Professional		$10,262.36	$16,167.33	$24,538.66