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 $165.00 / $165.00 / $246.19	Professional		$165.00	$165.00	$246.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $162.54	Professional		$86.00	$86.00	$162.54
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 $34.53 / $71.44 / $85.73	Facility		$34.53	$71.44	$85.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $71.44 / $85.73	Professional		$34.53	$71.44	$85.73