Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,630.78 / $8,317.64	Facility		$239.88	$3,630.78	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $549.54	Professional		$181.97	$218.78	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $436.52	Facility		$204.17	$288.40	$436.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $288.40 / $10,000.00	Facility		$199.53	$288.40	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61