Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.37 / $1,938.00 / $6,827.70	Facility		$160.37	$1,938.00	$6,827.70
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 $161.46 / $193.75 / $238.96	Professional		$161.46	$193.75	$238.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $174.81 / $291.82	Facility		$98.20	$174.81	$291.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $88.49 / $117.04 / $1,683.00	Facility		$88.49	$117.04	$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