Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $3,633.00 / $8,294.00	Facility		$222.25	$3,633.00	$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 $179.39 / $215.27 / $265.50	Professional		$179.39	$215.27	$265.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.22 / $260.45 / $401.40	Facility		$212.22	$260.45	$401.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $196.71 / $257.68 / $3,512.00	Facility		$196.71	$257.68	$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