Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.05 / $5,048.00 / $10,767.00	Facility		$367.05	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $365.82 / $367.05	Professional		$317.70	$365.82	$367.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.94 / $352.25 / $479.83	Professional		$279.94	$352.25	$479.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.57 / $364.29 / $441.43	Professional		$303.57	$364.29	$441.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $367.05 / $620.30	Facility		$317.70	$367.05	$620.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $582.00 / $750.24	Professional		$440.00	$582.00	$750.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $333.69 / $437.13 / $1,736.00	Facility		$333.69	$437.13	$1,736.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $437.13 / $1,736.00	Professional		$333.69	$437.13	$1,736.00
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 $288.77 / $477.49 / $727.36	Professional		$288.77	$477.49	$727.36