Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.55 / $5,048.00 / $10,767.00	Facility		$1,539.55	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,539.55 / $1,600.15 / $1,892.13	Professional		$1,539.55	$1,600.15	$1,892.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.61 / $1,428.60 / $1,965.40	Professional		$1,122.61	$1,428.60	$1,965.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,739.20 / $2,087.04 / $2,574.02	Professional		$1,739.20	$2,087.04	$2,574.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,539.55 / $1,892.13 / $2,720.80	Facility		$1,539.55	$1,892.13	$2,720.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,348.00 / $3,127.00 / $4,294.03	Professional		$2,348.00	$3,127.00	$4,294.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,403.79 / $2,256.23 / $6,561.31	Facility		$1,403.79	$2,256.23	$6,561.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,403.79 / $2,256.23 / $6,561.31	Professional		$1,403.79	$2,256.23	$6,561.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.46 / $1,872.90 / $2,686.07	Professional		$1,221.46	$1,872.90	$2,686.07