Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.99 / $4,390.00 / $8,920.00	Facility		$219.99	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $219.99 / $744.80	Professional		$163.54	$219.99	$744.80
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 $97.83 / $123.10 / $168.47	Professional		$97.83	$123.10	$168.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $188.31 / $9,638.00	Professional		$130.77	$188.31	$9,638.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.09 / $284.50 / $344.75	Professional		$237.09	$284.50	$344.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.77 / $233.19 / $402.58	Facility		$181.77	$233.19	$402.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $244.32 / $299.00 / $479.98	Professional		$244.32	$299.00	$479.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $178.08 / $226.14 / $6,585.00	Facility		$178.08	$226.14	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $178.08 / $226.14 / $6,585.00	Professional		$178.08	$226.14	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $251.22 / $397.60	Professional		$150.60	$251.22	$397.60