Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $101.12 / $144.88	Facility		$101.12	$101.12	$144.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $101.12 / $144.88	Professional		$78.65	$101.12	$144.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $107.43	Professional		$81.00	$81.00	$107.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $84.67 / $147.41	Professional		$75.59	$84.67	$147.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.43 / $182.92 / $225.60	Professional		$152.43	$182.92	$225.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $123.13 / $192.70	Facility		$78.65	$123.13	$192.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $259.00 / $377.09	Professional		$89.10	$259.00	$377.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $154.41 / $9,929.00	Facility		$99.25	$154.41	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $154.41 / $9,929.00	Professional		$99.25	$154.41	$9,929.00