Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.27 / $388.87 / $388.87	Facility		$246.27	$388.87	$388.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.99 / $303.37 / $388.87	Professional		$243.99	$303.37	$388.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.25 / $472.25 / $626.39	Professional		$472.25	$472.25	$626.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $369.90 / $414.29 / $721.30	Professional		$369.90	$414.29	$721.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $310.45 / $382.91	Professional		$258.72	$310.45	$382.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.69 / $388.87 / $592.25	Facility		$250.69	$388.87	$592.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $522.00 / $638.83	Professional		$375.00	$522.00	$638.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $258.66 / $385.34 / $9,929.00	Facility		$258.66	$385.34	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $258.66 / $385.34 / $9,929.00	Professional		$258.66	$385.34	$9,929.00