Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $65.79 / $90.16	Professional		$52.36	$65.79	$90.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $41.24 / $65.95	Professional		$32.99	$41.24	$65.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.65 / $59.05 / $109.51	Facility		$53.65	$59.05	$109.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $99.54 / $125.40	Professional		$73.00	$99.54	$125.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.26 / $69.53 / $124.33	Facility		$51.26	$69.53	$124.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $69.53 / $124.33	Professional		$51.26	$69.53	$124.33
United Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $65.01 / $108.16	Professional		$42.57	$65.01	$108.16