Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.29 / $5,048.00 / $10,767.00	Facility		$168.29	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $168.29 / $179.44	Professional		$161.72	$168.29	$179.44
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 $193.91 / $244.00 / $340.09	Professional		$193.91	$244.00	$340.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $910.00 / $5,118.00	Professional		$676.00	$910.00	$5,118.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $185.52 / $224.80	Professional		$154.60	$185.52	$224.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.82 / $196.90 / $291.82	Facility		$167.82	$196.90	$291.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $297.00 / $381.67	Professional		$224.00	$297.00	$381.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $139.15 / $174.02 / $221.09	Facility		$139.15	$174.02	$221.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $174.02 / $221.09	Professional		$139.15	$174.02	$221.09
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 $124.15 / $203.91 / $330.26	Professional		$124.15	$203.91	$330.26