Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.41 / $425.67 / $791.83	Facility		$222.41	$425.67	$791.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.34 / $350.44 / $437.44	Professional		$186.34	$350.44	$437.44
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 $127.12 / $219.40 / $328.92	Professional		$127.12	$219.40	$328.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.33 / $203.82 / $3,426.00	Professional		$141.33	$203.82	$3,426.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.79 / $274.55 / $338.61	Professional		$228.79	$274.55	$338.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $270.68 / $464.07	Facility		$147.91	$270.68	$464.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $332.66 / $459.00	Professional		$286.00	$332.66	$459.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.97 / $180.97 / $1,683.00	Facility		$110.97	$180.97	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $307.95 / $1,683.00	Professional		$219.00	$307.95	$1,683.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $305.36 / $485.69	Professional		$202.80	$305.36	$485.69