Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.47 / $4,796.00 / $9,539.00	Facility		$217.47	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $199.40 / $217.47	Professional		$170.01	$199.40	$217.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.25 / $282.25 / $374.37	Professional		$282.25	$282.25	$374.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $327.04 / $569.40	Professional		$292.00	$327.04	$569.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.58 / $249.10 / $307.22	Professional		$207.58	$249.10	$307.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.89 / $217.47 / $342.75	Facility		$169.89	$217.47	$342.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $296.36 / $383.00 / $513.34	Professional		$296.36	$383.00	$513.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $179.99 / $302.18 / $9,929.00	Facility		$179.99	$302.18	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $179.99 / $277.05 / $9,929.00	Professional		$179.99	$277.05	$9,929.00