Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.46 / $1,938.00 / $8,294.00	Facility		$203.46	$1,938.00	$8,294.00
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 $472.55 / $567.05 / $699.37	Professional		$472.55	$567.05	$699.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.46 / $512.09 / $952.41	Facility		$203.46	$512.09	$952.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $193.68 / $257.80 / $2,039.00	Facility		$193.68	$257.80	$2,039.00
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