Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $181.72 / $256.62	Professional		$82.99	$181.72	$256.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $89.49 / $113.21	Professional		$71.59	$89.49	$113.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.03 / $89.47 / $155.21	Facility		$76.03	$89.47	$155.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $141.07 / $188.88	Professional		$111.24	$141.07	$188.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.81 / $106.05 / $181.60	Facility		$82.81	$106.05	$181.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $106.05 / $181.60	Professional		$82.81	$106.05	$181.60
United Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $100.35 / $152.58	Professional		$68.92	$100.35	$152.58