Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.09 / $132.09 / $132.09	Facility		$132.09	$132.09	$132.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $37.72 / $48.04	Professional		$34.29	$37.72	$48.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $61.35 / $82.65	Professional		$0.02	$61.35	$82.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.06 / $499.36 / $599.23	Professional		$422.06	$499.36	$599.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $35.13 / $70.26	Facility		$28.51	$35.13	$70.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $55.00 / $941.76	Professional		$45.80	$55.00	$941.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $33.59 / $44.21 / $74.25	Facility		$33.59	$44.21	$74.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $44.21 / $74.25	Professional		$33.59	$44.21	$74.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,673.54 / $1,854.75 / $4,432.43	Facility		$1,673.54	$1,854.75	$4,432.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $42.67 / $69.87	Professional		$27.35	$42.67	$69.87