Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,495.41 / $10,000.00	Facility		$912.01	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $794.33 / $1,023.29	Professional		$354.81	$794.33	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $616.60	Professional		$346.74	$436.52	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $524.81	Professional		$354.81	$426.58	$524.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,659.59	Facility		$524.81	$912.01	$1,659.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $19,952.62	Facility		$575.44	$1,122.02	$19,952.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $19,952.62	Professional		$575.44	$1,122.02	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $18,197.01 / $40,738.03	Facility		$10,964.78	$18,197.01	$40,738.03
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,905.46	Professional		$724.44	$1,174.90	$1,905.46