Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $5,087.00 / $8,920.00	Facility		$523.66	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.99 / $523.19 / $523.66	Professional		$436.99	$523.19	$523.66
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 $336.40 / $428.09 / $588.95	Professional		$336.40	$428.09	$588.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.31 / $534.37 / $659.06	Professional		$445.31	$534.37	$659.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $466.35 / $548.17 / $884.19	Facility		$466.35	$548.17	$884.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $601.00 / $854.00 / $1,100.33	Professional		$601.00	$854.00	$1,100.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $471.18 / $1,180.55 / $25,818.00	Facility		$471.18	$1,180.55	$25,818.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $471.18 / $1,180.55 / $25,818.00	Professional		$471.18	$1,180.55	$25,818.00
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 $404.26 / $675.78 / $1,004.49	Professional		$404.26	$675.78	$1,004.49