Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.41 / $3,633.00 / $8,920.00	Facility		$136.41	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $136.41 / $812.00	Professional		$118.77	$136.41	$812.00
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 $110.33 / $137.01 / $168.14	Professional		$110.33	$137.01	$168.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,497.00 / $3,293.00 / $4,284.00	Professional		$2,497.00	$3,293.00	$4,284.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $166.55 / $174.49	Professional		$159.88	$166.55	$174.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $157.51 / $222.85	Facility		$117.90	$157.51	$222.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.86 / $530.33 / $9,929.00	Facility		$112.86	$530.33	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $530.33 / $9,929.00	Professional		$112.86	$530.33	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $178.74 / $261.97	Professional		$105.62	$178.74	$261.97