Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.91 / $93.94 / $222.88	Facility		$83.91	$93.94	$222.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $93.94 / $139.22	Professional		$80.64	$93.94	$139.22
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 $74.98 / $95.89 / $131.51	Professional		$74.98	$95.89	$131.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $141.13 / $3,026.00	Professional		$94.05	$141.13	$3,026.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $93.36 / $115.14	Professional		$77.80	$93.36	$115.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.91 / $112.31 / $153.56	Facility		$83.91	$112.31	$153.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $118.21 / $174.25	Professional		$105.00	$118.21	$174.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $108.95 / $1,683.00	Facility		$82.49	$108.95	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $108.95 / $1,683.00	Professional		$82.49	$108.95	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $112.37 / $182.21	Professional		$69.69	$112.37	$182.21