Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.49 / $5,087.00 / $8,920.00	Facility		$249.49	$5,087.00	$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 $199.07 / $238.88 / $294.62	Professional		$199.07	$238.88	$294.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $238.06 / $292.17 / $455.65	Facility		$238.06	$292.17	$455.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $222.51 / $288.06 / $1,683.00	Facility		$222.51	$288.06	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00