Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $114.82 / $12,882.50	Facility		$93.33	$114.82	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $123.03	Professional		$93.33	$102.33	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $316.23	Professional		$169.82	$229.09	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $257.04	Professional		$151.36	$190.55	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $288.40	Professional		$194.98	$234.42	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $144.54 / $380.19	Facility		$93.33	$144.54	$380.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $190.55 / $10,000.00	Facility		$125.89	$190.55	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $10,000.00	Professional		$125.89	$190.55	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $371.54	Professional		$147.91	$234.42	$371.54