Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.87 / $128.87 / $157.27	Facility		$128.87	$128.87	$157.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $79.87 / $282.72	Professional		$62.19	$79.87	$282.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $64.19 / $89.47	Professional		$50.41	$64.19	$89.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $147.24 / $487.51	Professional		$65.75	$147.24	$487.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $64.66 / $80.83	Professional		$52.36	$64.66	$80.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $89.28 / $482.66	Facility		$57.75	$89.28	$482.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $102.00 / $212.00	Professional		$76.00	$102.00	$212.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $137.41 / $4,071.00	Facility		$60.08	$137.41	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $137.41 / $4,071.00	Professional		$60.08	$137.41	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $93.91 / $438.27	Professional		$51.51	$93.91	$438.27