Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $4,032.00 / $8,920.00	Facility		$21.14	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $21.27 / $70.54	Professional		$21.14	$21.27	$70.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $60.61 / $84.48	Professional		$48.17	$60.61	$84.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $53.23 / $916.00	Professional		$39.43	$53.23	$916.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $94.09 / $114.65	Professional		$78.41	$94.09	$114.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $27.48 / $100.17	Facility		$21.14	$27.48	$100.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $108.00 / $173.26	Professional		$84.00	$108.00	$173.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $61.15 / $1,380.00	Facility		$23.60	$61.15	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $61.15 / $1,380.00	Professional		$23.60	$61.15	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $28.23 / $42.28	Professional		$16.59	$28.23	$42.28