Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.72 / $5,412.00 / $11,024.00	Facility		$323.72	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.72 / $356.48 / $437.82	Professional		$323.72	$356.48	$437.82
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 $0.02 / $0.02 / $495.87	Professional		$0.02	$0.02	$495.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.65 / $490.38 / $604.79	Professional		$408.65	$490.38	$604.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.93 / $409.45 / $602.45	Facility		$258.93	$409.45	$602.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $552.00 / $724.00 / $1,009.58	Professional		$552.00	$724.00	$1,009.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $377.55 / $661.39 / $16,954.00	Facility		$377.55	$661.39	$16,954.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $377.55 / $661.39 / $16,954.00	Professional		$377.55	$661.39	$16,954.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.43 / $460.79 / $691.90	Professional		$282.43	$460.79	$691.90