Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $289.80 / $431.75	Facility		$30.00	$289.80	$431.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $400.20	Professional		$30.00	$40.00	$400.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.50 / $339.50 / $382.50	Professional		$339.50	$339.50	$382.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $355.00 / $450.00	Professional		$210.00	$355.00	$450.00
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
Medcost Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $330.00 / $370.00	Professional		$260.00	$330.00	$370.00
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 $45.00 / $61.00 / $83.35	Professional		$45.00	$61.00	$83.35