Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.18 / $5,412.00 / $11,024.00	Facility		$238.18	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.48 / $238.18 / $262.29	Professional		$219.48	$238.18	$262.29
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 $0.02 / $0.02 / $233.78	Professional		$0.02	$0.02	$233.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.27 / $281.13 / $346.72	Professional		$234.27	$281.13	$346.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.51 / $262.00 / $402.52	Facility		$190.51	$262.00	$402.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $427.00 / $578.45	Professional		$316.00	$427.00	$578.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $246.78 / $444.12 / $9,929.00	Facility		$246.78	$444.12	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $246.78 / $444.12 / $9,929.00	Professional		$246.78	$444.12	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $347.94 / $527.47	Professional		$207.82	$347.94	$527.47