Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $46.77 / $91.20	Professional		$25.12	$46.77	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $100.00	Professional		$60.26	$67.61	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $120.23	Professional		$81.28	$89.13	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $74.13	Professional		$27.54	$33.88	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $63.10 / $128.82	Facility		$27.54	$63.10	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $79.43	Professional		$57.54	$57.54	$79.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $52.48 / $112.20	Facility		$28.84	$52.48	$112.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $112.20	Professional		$28.84	$52.48	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $54.95 / $141.25	Professional		$15.14	$54.95	$141.25