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 $114.54 / $145.25 / $200.69	Professional		$114.54	$145.25	$200.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,496.00 / $4,117.00 / $5,354.00	Professional		$3,496.00	$4,117.00	$5,354.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.04 / $195.65 / $241.30	Professional		$163.04	$195.65	$241.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $163.04 / $200.59	Facility		$118.69	$163.04	$200.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $318.31 / $352.00	Professional		$188.00	$318.31	$352.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.90 / $141.35 / $7,420.00	Facility		$107.90	$141.35	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $141.35 / $7,420.00	Professional		$107.90	$141.35	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,454.00 / $8,454.00 / $8,454.00	Facility		$8,454.00	$8,454.00	$8,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $113.14 / $201.20	Professional		$45.62	$113.14	$201.20