Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.75 / $4,771.00 / $8,920.00	Facility		$155.75	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $150.29 / $155.75	Professional		$137.87	$150.29	$155.75
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 $72.45 / $94.40 / $129.88	Professional		$72.45	$94.40	$129.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $186.49 / $194.27	Professional		$139.16	$186.49	$194.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.99 / $186.36 / $274.12	Facility		$138.99	$186.36	$274.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $242.00 / $329.83	Professional		$242.00	$242.00	$329.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $210.35 / $1,578.00	Facility		$133.94	$210.35	$1,578.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $210.35 / $1,578.00	Professional		$133.94	$210.35	$1,578.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $200.67 / $306.39	Professional		$121.62	$200.67	$306.39