Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.24 / $4,771.00 / $9,539.00	Facility		$176.24	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $170.34 / $210.09	Professional		$141.94	$170.34	$210.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.24 / $211.09 / $287.92	Facility		$176.24	$211.09	$287.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.52 / $208.68 / $1,621.00	Facility		$160.52	$208.68	$1,621.00
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