Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.54 / $952.54 / $1,162.48	Facility		$952.54	$952.54	$1,162.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.12 / $535.67 / $1,924.17	Professional		$454.12	$535.67	$1,924.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.04 / $1,073.75 / $2,147.00	Facility		$704.04	$1,073.75	$2,147.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.50 / $424.60 / $591.80	Professional		$333.50	$424.60	$591.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.97 / $434.81 / $847.88	Professional		$402.97	$434.81	$847.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.34 / $410.81 / $506.66	Professional		$342.34	$410.81	$506.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $392.36 / $563.51 / $723.62	Facility		$392.36	$563.51	$723.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $474.00 / $543.00 / $843.74	Professional		$474.00	$543.00	$843.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $385.81 / $509.15 / $5,502.98	Facility		$385.81	$509.15	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $385.81 / $509.15 / $5,502.98	Professional		$385.81	$509.15	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,656.00 / $2,656.00 / $2,656.00	Facility		$2,656.00	$2,656.00	$2,656.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $504.48 / $764.89	Professional		$330.07	$504.48	$764.89