Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.23 / $219.91 / $826.86	Facility		$214.23	$219.91	$826.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.20 / $214.23 / $219.91	Professional		$182.20	$214.23	$219.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $57.76 / $69.31	Professional		$45.86	$57.76	$69.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $267.85 / $271.08	Professional		$257.13	$267.85	$271.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $189.21 / $229.94	Facility		$146.72	$189.21	$229.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $184.43 / $184.43 / $184.43	Professional		$184.43	$184.43	$184.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $142.55 / $242.00 / $4,071.00	Facility		$142.55	$242.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $242.00 / $4,071.00	Professional		$142.55	$242.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $254.99 / $337.43	Professional		$144.61	$254.99	$337.43