Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $7,598.00 / $14,819.20	Facility		$1,088.00	$7,598.00	$14,819.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.58 / $368.22 / $369.31	Professional		$318.58	$368.22	$369.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $332.58	Professional		$0.02	$0.02	$332.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $1,757.00 / $2,413.00	Professional		$690.00	$1,757.00	$2,413.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.43 / $366.51 / $452.04	Professional		$305.43	$366.51	$452.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $319.66 / $369.31 / $622.29	Facility		$319.66	$369.31	$622.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $585.00 / $754.20	Professional		$412.00	$585.00	$754.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $335.74 / $438.19 / $2,251.00	Facility		$335.74	$438.19	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $335.74 / $438.19 / $2,251.00	Professional		$335.74	$438.19	$2,251.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.19 / $485.58 / $707.57	Professional		$302.19	$485.58	$707.57