Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $223.87	Professional		$128.82	$177.83	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $223.87	Professional		$134.90	$134.90	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $354.81	Professional		$223.87	$251.19	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $295.12	Professional		$199.53	$239.88	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $338.84	Facility		$134.90	$204.17	$338.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $186.21 / $338.84	Facility		$50.12	$186.21	$338.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $204.17 / $371.54	Professional		$60.26	$204.17	$371.54