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 $58.55 / $73.31 / $100.88	Professional		$58.55	$73.31	$100.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $81.70 / $135.63	Professional		$65.37	$81.70	$135.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.88 / $4,543.28 / $6,867.82	Facility		$78.88	$4,543.28	$6,867.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $7,472.21 / $11,890.57	Professional		$98.00	$7,472.21	$11,890.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $96.81 / $5,653.68	Facility		$65.26	$96.81	$5,653.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $96.81 / $5,653.68	Professional		$65.26	$96.81	$5,653.68
United Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $83.98 / $131.47	Professional		$57.30	$83.98	$131.47