Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $4,032.00 / $8,920.00	Facility		$76.23	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $75.87 / $76.23	Professional		$62.24	$75.87	$76.23
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 $86.26 / $103.52 / $125.40	Professional		$86.26	$103.52	$125.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $76.23 / $116.10	Facility		$62.24	$76.23	$116.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $122.00 / $475.00	Professional		$95.00	$122.00	$475.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.30 / $99.10 / $1,632.00	Facility		$69.30	$99.10	$1,632.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $99.10 / $1,632.00	Professional		$69.30	$99.10	$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 $36.60 / $57.19 / $91.82	Professional		$36.60	$57.19	$91.82