Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.61 / $5,412.00 / $11,024.00	Facility		$454.61	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.06 / $453.36 / $454.61	Professional		$378.06	$453.36	$454.61
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 $289.57 / $368.49 / $506.96	Professional		$289.57	$368.49	$506.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.30 / $395.16 / $487.36	Professional		$329.30	$395.16	$487.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $357.39 / $454.61 / $699.33	Facility		$357.39	$454.61	$699.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $721.00 / $812.98	Professional		$444.00	$721.00	$812.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $387.80 / $545.54 / $13,902.00	Facility		$387.80	$545.54	$13,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $387.80 / $545.54 / $13,902.00	Professional		$387.80	$545.54	$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 $371.99 / $597.73 / $922.65	Professional		$371.99	$597.73	$922.65