Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.84 / $3,633.00 / $8,294.00	Facility		$91.84	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $84.00 / $92.66	Professional		$62.18	$84.00	$92.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $32.07 / $36.74	Professional		$0.02	$32.07	$36.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $89.49 / $114.22	Professional		$76.06	$89.49	$114.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $89.47 / $143.15	Facility		$73.97	$89.47	$143.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $141.07 / $188.88	Professional		$111.00	$141.07	$188.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.81 / $115.23 / $194.05	Facility		$82.81	$115.23	$194.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $115.23 / $194.05	Professional		$82.81	$115.23	$194.05
United Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $187.65 / $187.65	Facility		$67.27	$187.65	$187.65
United Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $103.38 / $183.55	Professional		$64.39	$103.38	$183.55