Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $5,048.00 / $10,767.00	Facility		$3,135.99	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $3,135.99	Professional		$3,135.99	$3,135.99	$3,135.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,744.00 / $10,355.77 / $14,433.40	Facility		$6,744.00	$10,355.77	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,369.12 / $3,016.99 / $4,185.77	Professional		$2,369.12	$3,016.99	$4,185.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,626.81 / $1,626.81 / $3,172.28	Professional		$1,626.81	$1,626.81	$3,172.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Professional		$525.00	$525.00	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $5,299.82	Facility		$3,135.99	$3,135.99	$5,299.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,961.00 / $4,373.09 / $4,436.00	Professional		$3,961.00	$4,373.09	$4,436.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $3,658.00 / $9,929.00	Facility		$1,227.00	$3,658.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $3,658.00 / $9,929.00	Professional		$1,227.00	$3,658.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,725.91 / $1,725.91 / $1,725.91	Professional		$1,725.91	$1,725.91	$1,725.91