Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.53 / $5,048.00 / $10,767.00	Facility		$370.53	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $68.43 / $370.53	Professional		$61.72	$68.43	$370.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $91.03 / $126.89	Professional		$72.34	$91.03	$126.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,490.00 / $2,012.00 / $5,118.00	Professional		$1,490.00	$2,012.00	$5,118.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $50.84 / $61.56	Professional		$42.37	$50.84	$61.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $85.42 / $555.79	Facility		$64.02	$85.42	$555.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $114.00 / $171.00	Professional		$88.00	$114.00	$171.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $72.84 / $169.33	Facility		$59.29	$72.84	$169.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $72.84 / $169.33	Professional		$59.29	$72.84	$169.33
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $126.74 / $594.79	Professional		$29.63	$126.74	$594.79