Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.29 / $3,617.00 / $7,275.00	Facility		$252.29	$3,617.00	$7,275.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $82.68 / $145.41 / $241.43	Facility	52	$82.68	$145.41	$241.43
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 $261.24 / $313.49 / $386.64	Professional		$261.24	$313.49	$386.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.24 / $302.58 / $501.66	Facility		$167.24	$302.58	$501.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $159.88 / $212.12 / $1,683.00	Facility		$159.88	$212.12	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,533.00 / $5,340.00	Facility		$1,911.00	$3,533.00	$5,340.00