Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.85 / $4,771.00 / $8,920.00	Facility		$486.85	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.21 / $485.43 / $486.85	Professional		$383.21	$485.43	$486.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $438.29	Professional		$0.02	$0.02	$438.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,236.00 / $2,635.00 / $3,426.00	Professional		$2,236.00	$2,635.00	$3,426.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.19 / $396.23 / $488.68	Professional		$330.19	$396.23	$488.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $383.21 / $486.85 / $741.47	Facility		$383.21	$486.85	$741.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $772.00 / $814.56	Professional		$446.00	$772.00	$814.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $413.15 / $577.59 / $3,147.19	Facility		$413.15	$577.59	$3,147.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $413.15 / $577.59 / $3,147.19	Professional		$413.15	$577.59	$3,147.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.34 / $629.25 / $974.19	Professional		$398.34	$629.25	$974.19