Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $86.29 / $208.37	Facility		$86.29	$86.29	$208.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $86.29 / $208.37	Professional		$75.37	$86.29	$208.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $331.60	Professional		$250.00	$250.00	$331.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $100.80 / $175.50	Professional		$90.00	$100.80	$175.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.16 / $262.99 / $318.75	Professional		$219.16	$262.99	$318.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $105.91 / $288.58	Facility		$62.76	$105.91	$288.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $348.00 / $541.91	Professional		$275.00	$348.00	$541.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $219.42 / $9,929.00	Facility		$70.70	$219.42	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $219.42 / $9,929.00	Professional		$75.47	$219.42	$9,929.00