Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $891.25 / $5,623.41	Facility		$165.96	$891.25	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $398.11	Professional		$128.82	$158.49	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $323.59	Professional		$158.49	$199.53	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $295.12	Facility		$138.04	$177.83	$295.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $1,659.59	Facility		$114.82	$177.83	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71