Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $165.00 / $206.26	Professional		$143.00	$165.00	$206.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $264.60	Professional		$140.00	$140.00	$264.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $54.20 / $67.75	Professional		$46.37	$54.20	$67.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $70.00 / $105.00	Facility		$29.68	$70.00	$105.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $63.00 / $150.00	Professional		$43.67	$63.00	$150.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.59 / $83.66 / $123.82	Facility		$46.59	$83.66	$123.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $83.66 / $123.82	Professional		$46.59	$83.66	$123.82