Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $198.90 / $278.93	Professional		$155.58	$198.90	$278.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,492.27 / $2,296.85 / $2,461.89	Professional		$1,492.27	$2,296.85	$2,461.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.23 / $240.65 / $252.79	Professional		$176.23	$240.65	$252.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.68 / $240.03 / $400.97	Facility		$136.68	$240.03	$400.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $329.00 / $452.04	Professional		$269.00	$329.00	$452.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $179.04 / $286.61 / $7,420.00	Facility		$179.04	$286.61	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $179.04 / $286.61 / $7,420.00	Professional		$179.04	$286.61	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $209.60 / $303.38	Professional		$128.97	$209.60	$303.38