Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.55 / $4,032.00 / $8,920.00	Facility		$299.55	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $298.58 / $299.55	Professional		$259.27	$298.58	$299.55
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 $0.02 / $0.02 / $188.80	Professional		$0.02	$0.02	$188.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.13 / $315.76 / $382.60	Professional		$263.13	$315.76	$382.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $261.52 / $304.75 / $506.24	Facility		$261.52	$304.75	$506.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $361.48 / $475.00 / $649.55	Professional		$361.48	$475.00	$649.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $272.33 / $356.75 / $982.00	Facility		$272.33	$356.75	$982.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $272.33 / $356.75 / $982.00	Professional		$272.33	$356.75	$982.00
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 $239.13 / $387.16 / $599.41	Professional		$239.13	$387.16	$599.41