Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.94 / $5,048.00 / $10,767.00	Facility		$120.94	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $120.94 / $120.94	Professional		$101.24	$120.94	$120.94
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 $133.26 / $165.49 / $203.08	Professional		$133.26	$165.49	$203.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,236.00 / $3,019.00 / $3,448.00	Professional		$2,236.00	$3,019.00	$3,448.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $161.54 / $163.47	Professional		$155.08	$161.54	$163.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.19 / $184.19 / $184.19	Facility		$184.19	$184.19	$184.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.66 / $228.66 / $9,929.00	Facility		$95.66	$228.66	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $228.66 / $9,929.00	Professional		$95.66	$228.66	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $163.74 / $245.06	Professional		$100.29	$163.74	$245.06