Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,412.00 / $14,187.00	Facility		$3,633.00	$5,412.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $70.47 / $3,991.00	Professional		$70.47	$70.47	$3,991.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $44.51 / $73.84	Professional		$44.51	$44.51	$73.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $74.37 / $91.72	Professional		$61.97	$74.37	$91.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $86.64 / $121.21	Facility		$62.24	$86.64	$121.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $126.00 / $154.44	Professional		$84.00	$126.00	$154.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.64 / $90.94 / $174.87	Facility		$69.64	$90.94	$174.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $90.94 / $174.87	Professional		$69.64	$90.94	$174.87
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $99.52 / $147.41	Professional		$62.17	$99.52	$147.41