Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $134.90 / $134.90	Facility		$125.89	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $141.25	Professional		$93.33	$120.23	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $208.93	Professional		$91.20	$97.72	$208.93
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 $112.20 / $138.04 / $263.03	Facility		$112.20	$138.04	$263.03
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 / $138.04 / $524.81	Facility		$114.82	$138.04	$524.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $524.81	Professional		$114.82	$138.04	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89