Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,561.54 / $1,962.11 / $2,676.59	Professional		$1,561.54	$1,962.11	$2,676.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $867.20 / $1,248.77 / $8,031.00	Professional		$867.20	$1,248.77	$8,031.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.92 / $935.91 / $1,134.07	Professional		$779.92	$935.91	$1,134.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $974.51 / $2,000.00 / $3,380.00	Facility		$974.51	$2,000.00	$3,380.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,294.00 / $1,993.00 / $2,337.46	Professional		$1,294.00	$1,993.00	$2,337.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,142.36 / $1,496.50 / $6,585.00	Facility		$1,142.36	$1,496.50	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,142.36 / $1,496.50 / $6,585.00	Professional		$1,142.36	$1,496.50	$6,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $730.66 / $2,550.37	Professional		$400.00	$730.66	$2,550.37