Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Facility		$190.55	$190.55	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $204.17	Professional		$151.36	$181.97	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $446.68	Professional		$213.80	$239.88	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $575.44	Professional		$371.54	$407.38	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $309.03	Professional		$208.93	$263.03	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $338.84	Facility		$141.25	$204.17	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $10,000.00	Facility		$141.25	$204.17	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $10,000.00	Professional		$141.25	$204.17	$10,000.00