Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,235.94 / $8,317.64	Facility		$190.55	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $190.55 / $741.31	Professional		$50.12	$190.55	$741.31
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 $89.13 / $114.82 / $158.49	Professional		$89.13	$114.82	$158.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,995.26 / $2,754.23	Professional		$707.95	$1,995.26	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $275.42	Professional		$186.21	$257.04	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $77.62	Facility		$54.95	$54.95	$77.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $870.96 / $10,000.00	Facility		$52.48	$870.96	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $870.96 / $10,000.00	Professional		$52.48	$870.96	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,511.89	Facility		$229.09	$1,202.26	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $89.13	Professional		$36.31	$64.57	$89.13