Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $57.56 / $57.56	Facility		$57.56	$57.56	$57.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $44.18 / $57.56	Professional		$35.83	$44.18	$57.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $81.00 / $111.16	Professional		$76.00	$81.00	$111.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $81.00 / $110.00	Professional		$76.00	$81.00	$110.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $56.46 / $69.29	Professional		$47.05	$56.46	$69.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $57.45 / $94.97	Facility		$41.86	$57.45	$94.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $89.10 / $115.63	Professional		$88.00	$89.10	$115.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $43.25 / $80.00	Facility		$17.82	$43.25	$80.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $49.31 / $91.67	Professional		$23.36	$49.31	$91.67