Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.95 / $3,645.00 / $8,920.00	Facility		$246.95	$3,645.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $164.30 / $202.64	Professional		$136.91	$164.30	$202.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $197.43 / $297.43	Facility		$161.69	$197.43	$297.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.02 / $193.34 / $3,512.00	Facility		$146.02	$193.34	$3,512.00
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