Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $628.00 / $628.00	Professional		$628.00	$628.00	$628.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $78.06 / $109.35	Professional		$62.71	$78.06	$109.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $403.00	Professional		$358.00	$358.00	$403.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $628.00 / $956.44	Facility		$628.00	$628.00	$956.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $4,071.00 / $4,071.00	Facility		$4,071.00	$4,071.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $4,071.00 / $4,071.00	Professional		$4,071.00	$4,071.00	$4,071.00