Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.72 / $5,048.00 / $10,767.00	Facility		$565.72	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.98 / $475.89 / $565.72	Professional		$271.98	$475.89	$565.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $171.53 / $237.57	Professional		$135.44	$171.53	$237.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.17 / $314.61 / $388.01	Professional		$262.17	$314.61	$388.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $267.30 / $480.86 / $861.59	Facility		$267.30	$480.86	$861.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $647.35 / $898.00	Professional		$380.00	$647.35	$898.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $374.92 / $673.73 / $1,195.18	Facility		$374.92	$673.73	$1,195.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $374.92 / $673.73 / $1,195.18	Professional		$374.92	$673.73	$1,195.18
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.39 / $639.30 / $1,014.71	Professional		$410.39	$639.30	$1,014.71