Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,365.16 / $14,791.08	Facility		$645.65	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $630.96 / $2,398.83	Professional		$173.78	$630.96	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $5,888.44	Facility		$1,412.54	$2,137.96	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $199.53	Professional		$102.33	$134.90	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,047.13 / $1,412.54	Professional		$151.36	$1,047.13	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $676.08	Professional		$436.52	$537.03	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,380.38 / $3,630.78	Facility		$537.03	$1,380.38	$3,630.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,479.11 / $6,456.54	Facility		$346.74	$1,479.11	$6,456.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,995.26 / $10,000.00	Professional		$436.52	$1,995.26	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,023.29 / $1,659.59	Professional		$478.63	$1,023.29	$1,659.59