Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.89 / $293.82 / $404.22	Professional		$230.89	$293.82	$404.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $330.30 / $445.91 / $6,694.00	Professional		$330.30	$445.91	$6,694.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $233.28 / $287.70	Professional		$194.40	$233.28	$287.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $205.38 / $720.00 / $1,216.80	Facility		$205.38	$720.00	$1,216.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $575.00 / $669.79	Professional		$292.00	$575.00	$669.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $246.17 / $411.94 / $765.84	Facility		$246.17	$411.94	$765.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $411.94 / $765.84	Professional		$246.17	$411.94	$765.84
United Facility/Professional Professional Modifier Low / Median / High Price $289.37 / $483.28 / $683.26	Professional		$289.37	$483.28	$683.26