Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.29 / $3,991.00 / $8,920.00	Facility		$76.29	$3,991.00	$8,920.00
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 $64.48 / $77.39 / $95.45	Professional		$64.48	$77.39	$95.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $91.40 / $128.93	Facility		$73.77	$91.40	$128.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $93.30 / $1,683.00	Facility		$71.78	$93.30	$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