Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $405.72 / $604.45	Facility		$30.00	$405.72	$604.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $560.28	Professional		$30.00	$40.00	$560.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.30 / $475.30 / $535.50	Professional		$475.30	$475.30	$535.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $497.00 / $630.00	Professional		$294.00	$497.00	$630.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $2,460.00 / $3,184.32	Facility		$48.03	$2,460.00	$3,184.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $64.00 / $92.88	Facility		$23.60	$64.00	$92.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $64.00 / $92.88	Professional		$23.60	$64.00	$92.88
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $60.19 / $83.35	Professional		$46.00	$60.19	$83.35