Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.22 / $5,087.00 / $8,920.00	Facility		$633.22	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.66 / $631.28 / $633.22	Professional		$526.66	$631.28	$633.22
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 $72.80 / $92.64 / $127.56	Professional		$72.80	$92.64	$127.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $381.56 / $470.60	Professional		$317.97	$381.56	$470.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $369.92 / $633.22 / $1,066.85	Facility		$369.92	$633.22	$1,066.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $429.00 / $784.37 / $1,005.00	Professional		$429.00	$784.37	$1,005.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $515.72 / $759.87 / $9,210.00	Facility		$515.72	$759.87	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $515.72 / $759.87 / $9,210.00	Professional		$515.72	$759.87	$9,210.00
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 $506.08 / $844.17 / $1,267.06	Professional		$506.08	$844.17	$1,267.06