Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.95 / $5,087.00 / $8,920.00	Facility		$397.95	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.68 / $397.48 / $397.95	Professional		$349.68	$397.48	$397.95
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 $257.00 / $327.05 / $449.95	Professional		$257.00	$327.05	$449.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.51 / $396.61 / $489.15	Professional		$330.51	$396.61	$489.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $350.87 / $412.39 / $671.74	Facility		$350.87	$412.39	$671.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $643.00 / $881.88	Professional		$446.00	$643.00	$881.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $888.72 / $10,320.00	Facility		$361.45	$888.72	$10,320.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $361.45 / $888.72 / $10,320.00	Professional		$361.45	$888.72	$10,320.00
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 $309.38 / $513.61 / $767.34	Professional		$309.38	$513.61	$767.34