Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,104.00 / $20,665.00 / $23,706.00	Facility		$15,104.00	$20,665.00	$23,706.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $186.00	Professional		$0.02	$0.02	$186.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $15.84 / $28.71	Professional		$8.25	$15.84	$28.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $455.00 / $455.00	Professional		$455.00	$455.00	$455.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $462.79 / $478.78 / $501.13	Facility		$462.79	$478.78	$501.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.81 / $453.00 / $453.00	Professional		$446.81	$453.00	$453.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $9,563.00 / $16,258.00 / $32,843.00	Facility		$9,563.00	$16,258.00	$32,843.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $9,563.00 / $16,258.00 / $32,843.00	Professional		$9,563.00	$16,258.00	$32,843.00