Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $626.63 / $2,476.17	Facility		$317.00	$626.63	$2,476.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.45 / $947.45 / $1,453.78	Professional		$266.45	$947.45	$1,453.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $476.88 / $800.28	Professional		$174.34	$476.88	$800.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $205.86 / $285.30 / $11,566.00	Professional		$205.86	$285.30	$11,566.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.79 / $671.75 / $832.40	Professional		$559.79	$671.75	$832.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $211.45 / $609.41 / $1,445.04	Facility		$211.45	$609.41	$1,445.04
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $483.67 / $1,607.40 / $2,326.27	Facility	50	$483.67	$1,607.40	$2,326.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $1,140.00 / $1,831.75	Professional		$812.00	$1,140.00	$1,831.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $186.12 / $251.44 / $9,929.00	Facility		$186.12	$251.44	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $734.94 / $1,112.40 / $9,929.00	Professional		$734.94	$1,112.40	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.15 / $1,214.25 / $1,701.85	Professional		$686.15	$1,214.25	$1,701.85