Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,667.93 / $4,771.00 / $8,920.00	Facility		$1,667.93	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,503.85 / $1,667.93 / $1,667.93	Professional		$1,503.85	$1,667.93	$1,667.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $54.91 / $76.54	Professional		$43.64	$54.91	$76.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,473.90 / $1,768.68 / $2,143.23	Professional		$1,473.90	$1,768.68	$2,143.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,522.24 / $1,714.58 / $2,847.02	Facility		$1,522.24	$1,714.58	$2,847.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.00 / $2,669.00 / $3,639.12	Professional		$2,137.00	$2,669.00	$3,639.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,516.20 / $2,082.50 / $5,095.35	Facility		$1,516.20	$2,082.50	$5,095.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,516.20 / $2,082.50 / $5,095.35	Professional		$1,516.20	$2,082.50	$5,095.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.97 / $2,191.69 / $3,397.51	Professional		$1,356.97	$2,191.69	$3,397.51