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 / $174.67	Professional		$0.02	$0.02	$174.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $51.11 / $92.64	Professional		$26.62	$51.11	$92.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Professional		$624.00	$624.00	$624.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $424.49 / $535.39 / $579.74	Facility		$424.49	$535.39	$579.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $360.46 / $366.00 / $366.00	Professional		$360.46	$366.00	$366.00
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