Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.39 / $248.39 / $248.39	Facility		$248.39	$248.39	$248.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $71.45 / $90.57	Professional		$65.16	$71.45	$90.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $59.67 / $82.65	Professional		$0.02	$59.67	$82.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.79 / $0.96	Professional		$0.65	$0.79	$0.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.17 / $66.06 / $120.89	Facility		$54.17	$66.06	$120.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $105.00 / $121.15	Professional		$80.03	$105.00	$121.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.26 / $81.08 / $133.13	Facility		$59.26	$81.08	$133.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $81.08 / $133.13	Professional		$59.26	$81.08	$133.13
United Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $77.45 / $121.03	Professional		$49.54	$77.45	$121.03