Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.30 / $5,087.00 / $8,920.00	Facility		$253.30	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.51 / $253.30 / $257.32	Professional		$218.51	$253.30	$257.32
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 $0.02 / $0.02 / $252.94	Professional		$0.02	$0.02	$252.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,366.00 / $5,804.00 / $6,779.00	Professional		$4,366.00	$5,804.00	$6,779.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.07 / $309.69 / $381.94	Professional		$258.07	$309.69	$381.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.65 / $268.50 / $428.08	Facility		$240.65	$268.50	$428.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $402.00 / $599.29	Professional		$328.00	$402.00	$599.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $230.28 / $301.20 / $9,929.00	Facility		$230.28	$301.20	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $230.28 / $301.20 / $9,929.00	Professional		$230.28	$301.20	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $336.45 / $506.86	Professional		$207.21	$336.45	$506.86