Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.11 / $5,048.00 / $10,767.00	Facility		$464.11	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.45 / $445.83 / $464.11	Professional		$340.45	$445.83	$464.11
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 / $171.22 / $237.57	Professional		$135.44	$171.22	$237.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.13 / $460.96 / $568.51	Professional		$384.13	$460.96	$568.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $388.37 / $464.11 / $753.45	Facility		$388.37	$464.11	$753.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $557.00 / $715.00 / $948.41	Professional		$557.00	$715.00	$948.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $421.93 / $565.39 / $980.52	Facility		$421.93	$565.39	$980.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $421.93 / $565.39 / $980.52	Professional		$421.93	$565.39	$980.52
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 $348.70 / $537.67 / $819.87	Professional		$348.70	$537.67	$819.87