Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.93 / $4,032.00 / $8,920.00	Facility		$150.93	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.58 / $150.34 / $150.93	Professional		$125.58	$150.34	$150.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $144.46 / $197.06	Professional		$114.96	$144.46	$197.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.73 / $488.07 / $591.42	Professional		$406.73	$488.07	$591.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.30 / $150.93 / $255.07	Facility		$127.30	$150.93	$255.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $240.00 / $1,050.00	Professional		$187.00	$240.00	$1,050.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $137.21 / $196.55 / $1,632.00	Facility		$137.21	$196.55	$1,632.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $196.55 / $1,632.00	Professional		$137.21	$196.55	$1,632.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $192.03 / $299.19	Professional		$115.22	$192.03	$299.19