Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.69 / $3,484.00 / $8,294.00	Facility		$314.69	$3,484.00	$8,294.00
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 $278.45 / $334.15 / $412.12	Professional		$278.45	$334.15	$412.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.37 / $333.57 / $575.88	Facility		$199.37	$333.57	$575.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.80 / $252.84 / $1,683.00	Facility		$190.80	$252.84	$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