Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.11 / $5,087.00 / $8,920.00	Facility		$1,972.11	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,244.31 / $1,972.11 / $2,172.14	Professional		$1,244.31	$1,972.11	$2,172.14
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 $740.51 / $921.23 / $1,297.49	Professional		$740.51	$921.23	$1,297.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,520.36 / $1,824.44 / $2,250.13	Professional		$1,520.36	$1,824.44	$2,250.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,233.49 / $1,972.11 / $3,003.52	Facility		$1,233.49	$1,972.11	$3,003.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,053.00 / $3,248.14 / $3,521.00	Professional		$2,053.00	$3,248.14	$3,521.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,548.71 / $3,675.88 / $9,929.00	Facility		$1,548.71	$3,675.88	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,548.71 / $3,675.88 / $9,929.00	Professional		$1,548.71	$3,675.88	$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 $1,720.67 / $2,806.88 / $4,267.75	Professional		$1,720.67	$2,806.88	$4,267.75