Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $45.63 / $45.63	Professional		$45.63	$45.63	$45.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $37.77 / $48.95	Professional		$30.46	$37.77	$48.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $26.50 / $29.15	Professional		$26.50	$26.50	$29.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $38.67 / $49.90	Professional		$32.01	$38.67	$49.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $43.41 / $69.73	Facility		$32.65	$43.41	$69.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $52.00 / $87.02	Professional		$35.00	$52.00	$87.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $27.51 / $37.11 / $59.73	Facility		$27.51	$37.11	$59.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $37.11 / $59.73	Professional		$27.51	$37.11	$59.73
United Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $29.46 / $49.67	Professional		$22.84	$29.46	$49.67