Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $4,365.16 / $14,791.08	Facility		$67.61	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $61.66 / $371.54	Professional		$12.88	$61.66	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $141.25	Professional		$74.13	$97.72	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $5,248.07	Professional		$1,513.56	$2,511.89	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $57.54	Professional		$38.90	$46.77	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $81.28 / $426.58	Facility		$50.12	$81.28	$426.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $190.55	Facility		$34.67	$66.07	$190.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $66.07 / $190.55	Professional		$34.67	$66.07	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $562.34	Professional		$26.92	$57.54	$562.34