Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.81 / $690.70 / $690.70	Facility		$328.81	$690.70	$690.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.81 / $540.02 / $690.70	Professional		$325.81	$540.02	$690.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $420.00 / $576.04	Professional		$420.00	$420.00	$576.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $419.33 / $730.08	Professional		$374.40	$419.33	$730.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $415.43 / $512.36	Professional		$346.19	$415.43	$512.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.19 / $690.70 / $1,175.57	Facility		$346.19	$690.70	$1,175.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $764.00 / $853.30	Professional		$441.00	$764.00	$853.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $349.74 / $952.29 / $9,929.00	Facility		$349.74	$952.29	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $349.74 / $684.42 / $9,929.00	Professional		$349.74	$684.42	$9,929.00