Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $3,645.00 / $8,294.00	Facility		$189.38	$3,645.00	$8,294.00
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 $152.41 / $182.89 / $225.57	Professional		$152.41	$182.89	$225.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.87 / $221.98 / $330.99	Facility		$180.87	$221.98	$330.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.31 / $217.50 / $3,512.00	Facility		$167.31	$217.50	$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