Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,897.79 / $8,912.51	Facility		$213.80	$4,897.79	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $239.88	Professional		$151.36	$190.55	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $309.03	Professional		$162.18	$213.80	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,754.23	Professional		$1,659.59	$2,137.96	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,778.28 / $2,187.76	Professional		$123.03	$1,778.28	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $1,778.28	Facility		$151.36	$223.87	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $478.63 / $10,000.00	Facility		$169.82	$478.63	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,862.09 / $10,000.00	Professional		$218.78	$1,862.09	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $436.52	Professional		$154.88	$257.04	$436.52