Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.36 / $610.41 / $842.74	Professional		$481.36	$610.41	$842.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,236.00 / $3,019.00 / $3,448.00	Professional		$2,236.00	$3,019.00	$3,448.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $179.15 / $220.95	Professional		$149.29	$179.15	$220.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.65 / $842.80 / $1,092.89	Facility		$173.65	$842.80	$1,092.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $987.00 / $1,159.90	Professional		$382.00	$987.00	$1,159.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $562.45 / $737.84 / $7,420.00	Facility		$562.45	$737.84	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $562.45 / $737.84 / $7,420.00	Professional		$562.45	$737.84	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.66 / $833.81 / $1,244.31	Professional		$573.66	$833.81	$1,244.31