Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $3,235.94 / $8,317.64	Facility		$70.79	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $52.48 / $83.18	Professional		$20.89	$52.48	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $95.50	Professional		$50.12	$66.07	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $954.99	Professional		$39.81	$56.23	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $109.65	Professional		$74.13	$89.13	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $45.71 / $120.23	Facility		$21.38	$45.71	$120.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $89.13 / $10,000.00	Facility		$22.91	$89.13	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $89.13 / $10,000.00	Professional		$22.91	$89.13	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $43.65	Professional		$15.85	$26.30	$43.65