Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,801.89 / $10,964.78	Facility		$218.78	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $741.31	Professional		$138.04	$204.17	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $190.55	Professional		$102.33	$134.90	$190.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $10,000.00	Professional		$131.83	$199.53	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $363.08	Professional		$245.47	$288.40	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $234.42 / $398.11	Facility		$158.49	$234.42	$398.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $234.42 / $10,000.00	Facility		$169.82	$234.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $10,000.00	Professional		$169.82	$234.42	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,748.98 / $23,988.33	Facility		$6,760.83	$11,748.98	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $380.19	Professional		$147.91	$234.42	$380.19