Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $169.32 / $169.32	Facility		$166.34	$169.32	$169.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $166.34 / $169.32	Professional		$141.80	$166.34	$169.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $68.20 / $93.84	Professional		$53.60	$68.20	$93.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $179.82 / $221.78	Professional		$149.85	$179.82	$221.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.85 / $176.32 / $281.11	Facility		$149.85	$176.32	$281.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $264.00 / $370.06	Professional		$202.00	$264.00	$370.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $192.41 / $375.90	Facility		$107.32	$192.41	$375.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $192.41 / $375.90	Professional		$107.32	$192.41	$375.90
United Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $223.81 / $313.25	Professional		$141.88	$223.81	$313.25