Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.02 / $1,085.97 / $1,326.84	Facility		$673.02	$1,085.97	$1,326.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.19 / $673.02 / $1,985.43	Professional		$590.19	$673.02	$1,985.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.90 / $445.49 / $620.92	Professional		$349.90	$445.49	$620.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $513.45 / $1,001.23	Professional		$460.48	$513.45	$1,001.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.12 / $428.54 / $528.54	Professional		$357.12	$428.54	$528.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $578.19 / $805.74	Facility		$407.57	$578.19	$805.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $515.00 / $575.00 / $880.08	Professional		$515.00	$575.00	$880.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $402.40 / $542.70 / $3,658.00	Facility		$402.40	$542.70	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $402.40 / $542.70 / $3,658.00	Professional		$402.40	$542.70	$3,658.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.87 / $573.70 / $855.38	Professional		$344.87	$573.70	$855.38