Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.22 / $4,771.00 / $9,539.00	Facility		$863.22	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.57 / $916.28 / $1,130.08	Professional		$763.57	$916.28	$1,130.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $863.22 / $1,059.41 / $1,533.56	Facility		$863.22	$1,059.41	$1,533.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $771.81 / $1,026.45 / $3,746.63	Facility		$771.81	$1,026.45	$3,746.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00