Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.80 / $5,048.00 / $10,767.00	Facility		$287.80	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.78 / $286.86 / $287.80	Professional		$248.78	$286.86	$287.80
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 $55.99 / $70.72 / $98.19	Professional		$55.99	$70.72	$98.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.73 / $285.27 / $345.66	Professional		$237.73	$285.27	$345.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $248.78 / $287.80 / $486.38	Facility		$248.78	$287.80	$486.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $457.00 / $587.59	Professional		$345.00	$457.00	$587.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $261.64 / $342.75 / $1,736.00	Facility		$261.64	$342.75	$1,736.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $261.64 / $342.75 / $1,736.00	Professional		$261.64	$342.75	$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 $221.68 / $378.41 / $570.30	Professional		$221.68	$378.41	$570.30