Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.57 / $1,100.48 / $4,150.80	Facility		$552.57	$1,100.48	$4,150.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.53 / $1,666.91 / $2,460.90	Professional		$469.53	$1,666.91	$2,460.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.32 / $822.49 / $1,365.06	Professional		$303.32	$822.49	$1,365.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $358.24 / $502.74 / $922.00	Professional		$358.24	$502.74	$922.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $957.74 / $1,149.29 / $1,421.74	Professional		$957.74	$1,149.29	$1,421.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.01 / $1,041.50 / $2,421.21	Facility		$372.01	$1,041.50	$2,421.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,389.00 / $1,919.00 / $3,024.30	Professional		$1,389.00	$1,919.00	$3,024.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $328.50 / $442.35 / $13,902.00	Facility		$328.50	$442.35	$13,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,236.85 / $1,833.59 / $13,902.00	Professional		$1,236.85	$1,833.59	$13,902.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.57 / $1,993.63 / $2,731.15	Professional		$1,151.57	$1,993.63	$2,731.15