Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.93 / $191.93 / $191.93	Facility		$191.93	$191.93	$191.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $184.86 / $206.97	Professional		$130.41	$184.86	$206.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $134.87 / $224.69	Professional		$134.87	$134.87	$224.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $317.50	Professional		$250.00	$250.00	$317.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.18 / $236.62 / $289.97	Professional		$197.18	$236.62	$289.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $201.18 / $347.32	Facility		$152.77	$201.18	$347.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $317.37 / $483.41	Professional		$278.00	$317.37	$483.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.96 / $195.73 / $334.50	Facility		$49.96	$195.73	$334.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $206.19 / $376.96	Professional		$66.56	$206.19	$376.96