Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.05 / $310.05 / $310.05	Facility		$310.05	$310.05	$310.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $89.09 / $112.68	Professional		$80.98	$89.09	$112.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $90.69 / $147.38	Professional		$0.02	$90.69	$147.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $66.45 / $81.44	Professional		$55.38	$66.45	$81.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $82.46 / $150.90	Facility		$67.34	$82.46	$150.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $131.00 / $169.08	Professional		$99.51	$131.00	$169.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.97 / $101.21 / $166.17	Facility		$74.97	$101.21	$166.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $101.21 / $166.17	Professional		$74.97	$101.21	$166.17
United Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $95.84 / $151.07	Professional		$62.36	$95.84	$151.07