Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.69 / $3,633.00 / $8,920.00	Facility		$375.69	$3,633.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.50 / $370.20 / $693.49	Professional		$308.50	$370.20	$693.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $265.82 / $398.23 / $631.19	Facility		$265.82	$398.23	$631.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $201.75 / $386.46 / $982.00	Facility		$201.75	$386.46	$982.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00