Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.80 / $5,412.00 / $16,216.00	Facility		$673.80	$5,412.00	$16,216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.67 / $671.64 / $673.80	Professional		$471.67	$671.64	$673.80
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 $386.26 / $491.53 / $676.23	Professional		$386.26	$491.53	$676.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.08 / $487.30 / $601.00	Professional		$406.08	$487.30	$601.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $441.09 / $673.80 / $1,026.20	Facility		$441.09	$673.80	$1,026.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.00 / $1,003.42 / $1,068.00	Professional		$549.00	$1,003.42	$1,068.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $502.30 / $808.58 / $13,902.00	Facility		$502.30	$808.58	$13,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $502.30 / $808.58 / $13,902.00	Professional		$502.30	$808.58	$13,902.00
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 $551.28 / $898.31 / $1,367.33	Professional		$551.28	$898.31	$1,367.33