Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.41 / $117.53 / $117.53	Facility		$109.41	$117.53	$117.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $109.41 / $117.53	Professional		$91.93	$109.41	$117.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.25 / $162.25 / $215.20	Professional		$162.25	$162.25	$215.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $268.80 / $468.00	Professional		$240.00	$268.80	$468.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $138.83 / $171.22	Professional		$115.69	$138.83	$171.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.81 / $123.63 / $189.70	Facility		$91.81	$123.63	$189.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $212.00 / $284.95	Professional		$168.00	$212.00	$284.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $132.47 / $9,929.00	Facility		$96.92	$132.47	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $132.47 / $9,929.00	Professional		$96.92	$132.47	$9,929.00