Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.12 / $158.12 / $211.06	Facility		$158.12	$158.12	$211.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $158.12 / $211.06	Professional		$123.62	$158.12	$211.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $156.49	Professional		$114.00	$114.00	$156.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $149.18 / $259.74	Professional		$133.19	$149.18	$259.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.06 / $266.47 / $328.65	Professional		$222.06	$266.47	$328.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.53 / $189.89 / $301.82	Facility		$123.53	$189.89	$301.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $381.00 / $548.28	Professional		$125.40	$381.00	$548.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.29 / $224.84 / $9,929.00	Facility		$144.29	$224.84	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $224.84 / $9,929.00	Professional		$144.29	$224.84	$9,929.00