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 $365.65 / $460.10 / $641.29	Professional		$365.65	$460.10	$641.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $520.79 / $749.95 / $5,291.00	Professional		$520.79	$749.95	$5,291.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,604.75 / $3,125.69 / $3,787.59	Professional		$2,604.75	$3,125.69	$3,787.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $701.84 / $1,221.68 / $2,235.67	Facility		$701.84	$1,221.68	$2,235.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $1,269.91 / $1,938.00	Professional		$795.00	$1,269.91	$1,938.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $910.72 / $1,525.45 / $4,891.00	Facility		$910.72	$1,525.45	$4,891.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $910.72 / $1,525.45 / $4,891.00	Professional		$910.72	$1,525.45	$4,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $975.25 / $1,579.04 / $2,458.19	Professional		$975.25	$1,579.04	$2,458.19