Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.38 / $2,561.00 / $8,920.00	Facility		$161.38	$2,561.00	$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 $133.30 / $159.96 / $197.28	Professional		$133.30	$159.96	$197.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.61 / $211.71 / $457.65	Facility		$160.61	$211.71	$457.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.06 / $191.68 / $805.00	Facility		$146.06	$191.68	$805.00
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