Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.58 / $5,048.00 / $10,767.00	Facility		$495.58	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.26 / $475.68 / $495.58	Professional		$363.26	$475.68	$495.58
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 $409.86 / $491.83 / $606.59	Professional		$409.86	$491.83	$606.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $414.38 / $495.58 / $803.90	Facility		$414.38	$495.58	$803.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $594.00 / $763.00 / $1,011.96	Professional		$594.00	$763.00	$1,011.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $450.53 / $603.71 / $1,046.99	Facility		$450.53	$603.71	$1,046.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $450.53 / $603.71 / $1,046.99	Professional		$450.53	$603.71	$1,046.99
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 $372.34 / $573.79 / $889.77	Professional		$372.34	$573.79	$889.77