Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $109.32 / $109.32	Facility		$100.47	$109.32	$109.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $100.47 / $109.32	Professional		$85.54	$100.47	$109.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.50 / $198.50 / $263.29	Professional		$198.50	$198.50	$263.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $157.91 / $274.95	Professional		$141.00	$157.91	$274.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.97 / $127.16 / $156.84	Professional		$105.97	$127.16	$156.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.51 / $109.32 / $174.62	Facility		$79.51	$109.32	$174.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $218.35 / $261.72	Professional		$154.00	$218.35	$261.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $90.44 / $124.80 / $9,929.00	Facility		$90.44	$124.80	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $124.80 / $9,929.00	Professional		$90.44	$124.80	$9,929.00