Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.69 / $2,555.44 / $45,564.90	Facility		$1,257.69	$2,555.44	$45,564.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.25 / $3,878.77 / $28,299.90	Professional		$1,084.25	$3,878.77	$28,299.90
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 $691.88 / $2,435.09 / $15,204.07	Professional		$691.88	$2,435.09	$15,204.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.77 / $1,126.58 / $15,962.00	Professional		$776.77	$1,126.58	$15,962.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,414.52 / $12,563.94 / $15,704.93	Professional		$10,414.52	$12,563.94	$15,704.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $864.79 / $11,297.82 / $23,096.09	Facility		$864.79	$11,297.82	$23,096.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15,101.00 / $17,934.72 / $27,620.75	Professional		$15,101.00	$17,934.72	$27,620.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $750.50 / $1,027.13 / $24,191.00	Facility		$750.50	$1,027.13	$24,191.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $10,945.00 / $17,203.55 / $35,121.00	Professional		$10,945.00	$17,203.55	$35,121.00
United Facility/Professional Facility Modifier Low / Median / High Price $18,450.00 / $42,544.00 / $60,889.00	Facility		$18,450.00	$42,544.00	$60,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $12,954.05 / $20,131.43 / $31,191.13	Professional		$12,954.05	$20,131.43	$31,191.13