Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $28.96 / $64.79	Facility		$28.96	$28.96	$64.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $48.62 / $64.87	Professional		$26.64	$48.62	$64.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $49.00	Professional		$30.00	$30.00	$49.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $51.03	Professional		$27.00	$27.00	$51.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $79.09 / $98.87	Professional		$67.59	$79.09	$98.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $33.02 / $83.81	Facility		$21.06	$33.02	$83.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $103.65 / $166.92	Professional		$31.90	$103.65	$166.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $59.24 / $201.72	Facility		$28.70	$59.24	$201.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $59.24 / $201.72	Professional		$28.70	$59.24	$201.72
United Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $112.00 / $121.00	Professional		$96.00	$112.00	$121.00