Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $615.97 / $783.85 / $1,078.39	Professional		$615.97	$783.85	$1,078.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,795.00 / $3,714.00 / $5,118.00	Professional		$2,795.00	$3,714.00	$5,118.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.43 / $582.52 / $718.44	Professional		$485.43	$582.52	$718.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $522.39 / $1,025.68 / $1,278.43	Facility		$522.39	$1,025.68	$1,278.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $693.00 / $1,201.00 / $1,481.18	Professional		$693.00	$1,201.00	$1,481.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $513.71 / $859.63 / $1,598.15	Facility		$513.71	$859.63	$1,598.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $513.71 / $859.63 / $1,598.15	Professional		$513.71	$859.63	$1,598.15
United Facility/Professional Professional Modifier Low / Median / High Price $697.87 / $1,069.40 / $1,561.05	Professional		$697.87	$1,069.40	$1,561.05