Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $4,365.16 / $14,791.08	Facility		$275.42	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $812.83	Professional		$239.88	$426.58	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,162.28	Professional		$1,659.59	$2,187.76	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $19,952.62 / $25,703.96	Professional		$5,623.41	$19,952.62	$25,703.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $363.08	Professional		$245.47	$288.40	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $1,174.90	Facility		$275.42	$501.19	$1,174.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $912.01 / $10,000.00	Facility		$407.38	$912.01	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $912.01 / $10,000.00	Professional		$407.38	$912.01	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,479.11	Professional		$549.54	$912.01	$1,479.11