Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.46 / $5,087.00 / $8,920.00	Facility		$213.46	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.66 / $213.32 / $213.46	Professional		$190.66	$213.32	$213.46
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 $156.44 / $196.58 / $273.27	Professional		$156.44	$196.58	$273.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,757.00 / $2,052.67 / $3,573.84	Professional		$1,757.00	$2,052.67	$3,573.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $295.39 / $357.99	Professional		$246.17	$295.39	$357.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.65 / $224.14 / $360.75	Facility		$192.65	$224.14	$360.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $349.00 / $449.78	Professional		$264.00	$349.00	$449.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $192.66 / $329.27 / $7,420.00	Facility		$192.66	$329.27	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $192.66 / $329.27 / $7,420.00	Professional		$192.66	$329.27	$7,420.00
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 $161.01 / $266.31 / $413.45	Professional		$161.01	$266.31	$413.45