Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.35 / $4,771.00 / $9,539.00	Facility		$873.35	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.56 / $880.27 / $1,085.67	Professional		$733.56	$880.27	$1,085.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $860.06 / $1,039.52 / $1,536.48	Facility		$860.06	$1,039.52	$1,536.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $773.16 / $1,013.07 / $2,070.00	Facility		$773.16	$1,013.07	$2,070.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00