Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.18 / $5,412.00 / $15,165.00	Facility		$107.18	$5,412.00	$15,165.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,714.00 / $9,239.00 / $22,034.00	Facility		$6,714.00	$9,239.00	$22,034.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $104.41 / $128.77	Professional		$87.01	$104.41	$128.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.77 / $123.98 / $175.10	Facility		$95.77	$123.98	$175.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.05 / $122.79 / $7,902.00	Facility		$96.05	$122.79	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00