Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.09 / $686.09 / $686.09	Facility		$686.09	$686.09	$686.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.06 / $197.90 / $250.28	Professional		$180.06	$197.90	$250.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $170.43 / $330.60	Professional		$0.02	$170.43	$330.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.51 / $564.86 / $677.83	Professional		$477.51	$564.86	$677.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $182.47 / $364.94	Facility		$149.66	$182.47	$364.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.36 / $289.00 / $1,233.38	Professional		$240.36	$289.00	$1,233.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.88 / $229.53 / $385.49	Facility		$165.88	$229.53	$385.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $229.53 / $385.49	Professional		$165.88	$229.53	$385.49
United Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $221.38 / $362.91	Professional		$143.50	$221.38	$362.91