Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.57 / $231.31 / $231.31	Facility		$136.57	$231.31	$231.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $173.77 / $231.31	Professional		$129.33	$173.77	$231.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $464.24	Professional		$350.00	$350.00	$464.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $379.00 / $424.48 / $739.05	Professional		$379.00	$424.48	$739.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.56 / $171.07 / $210.99	Professional		$142.56	$171.07	$210.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.33 / $231.31 / $379.28	Facility		$139.33	$231.31	$379.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $352.06 / $385.00	Professional		$207.00	$352.06	$385.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.21 / $261.95 / $9,929.00	Facility		$144.21	$261.95	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $261.95 / $9,929.00	Professional		$144.21	$261.95	$9,929.00