Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.80 / $2,623.00 / $8,207.00	Facility		$257.80	$2,623.00	$8,207.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.46 / $394.15 / $486.12	Professional		$328.46	$394.15	$486.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.10 / $375.75 / $613.84	Facility		$177.10	$375.75	$613.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $168.78 / $225.30 / $1,683.00	Facility		$168.78	$225.30	$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