Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.64 / $3,116.00 / $8,920.00	Facility		$320.64	$3,116.00	$8,920.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.68 / $246.59 / $308.85	Facility	52	$105.68	$246.59	$308.85
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 $422.84 / $507.41 / $625.79	Professional		$422.84	$507.41	$625.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $211.35 / $472.94 / $902.52	Facility		$211.35	$472.94	$902.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $196.52 / $266.86 / $5,122.00	Facility		$196.52	$266.86	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00