Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.10 / $139.38 / $234.00	Facility		$126.10	$139.38	$234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $127.56 / $139.38	Professional		$108.63	$127.56	$139.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $173.25 / $229.79	Professional		$173.25	$173.25	$229.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $188.16 / $327.60	Professional		$168.00	$188.16	$327.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $159.19 / $196.32	Professional		$132.66	$159.19	$196.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.63 / $139.38 / $218.84	Facility		$108.63	$139.38	$218.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.91 / $244.00 / $328.25	Professional		$181.91	$244.00	$328.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.90 / $156.50 / $9,929.00	Facility		$112.90	$156.50	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $134.41 / $9,929.00	Professional		$115.31	$134.41	$9,929.00