Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,388.44 / $4,771.00 / $8,920.00	Facility		$1,388.44	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.68 / $1,388.44 / $1,388.44	Professional		$1,250.68	$1,388.44	$1,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $55.64 / $75.79	Professional		$44.22	$55.64	$75.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,262.22 / $1,514.66 / $1,835.42	Professional		$1,262.22	$1,514.66	$1,835.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,300.89 / $1,463.05 / $2,366.71	Facility		$1,300.89	$1,463.05	$2,366.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,262.22 / $1,615.64 / $2,745.08	Facility		$1,262.22	$1,615.64	$2,745.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,262.22 / $1,615.64 / $2,745.08	Professional		$1,262.22	$1,615.64	$2,745.08
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 $1,160.84 / $2,005.95 / $2,879.23	Professional		$1,160.84	$2,005.95	$2,879.23