Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $107.15 / $107.15	Facility		$93.33	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $123.03	Professional		$69.18	$91.20	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $33.11	Professional		$15.85	$15.85	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $239.88	Professional		$120.23	$151.36	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $173.78 / $288.40	Facility		$125.89	$173.78	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $229.09	Facility		$114.82	$128.82	$229.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $229.09	Professional		$114.82	$128.82	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $128.82	Professional		$125.89	$125.89	$128.82