Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.30 / $301.30 / $370.47	Professional		$301.30	$301.30	$370.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $805.00 / $872.00 / $872.00	Professional		$805.00	$872.00	$872.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $533.04	Facility		$350.00	$350.00	$533.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $427.50 / $792.00	Facility		$67.59	$427.50	$792.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $427.50 / $792.00	Professional		$67.59	$427.50	$792.00