Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.64 / $5,087.00 / $8,920.00	Facility		$243.64	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.23 / $243.27 / $243.64	Professional		$215.23	$243.27	$243.64
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 $159.56 / $203.05 / $279.35	Professional		$159.56	$203.05	$279.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.45 / $245.33 / $302.58	Professional		$204.45	$245.33	$302.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.97 / $253.82 / $411.13	Facility		$215.97	$253.82	$411.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $396.00 / $543.50	Professional		$276.00	$396.00	$543.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $222.89 / $547.22 / $10,320.00	Facility		$222.89	$547.22	$10,320.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $222.89 / $547.22 / $10,320.00	Professional		$222.89	$547.22	$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 $191.74 / $314.47 / $475.56	Professional		$191.74	$314.47	$475.56