Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $3,633.00 / $8,294.00	Facility		$88.06	$3,633.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.82 / $279.38 / $345.14	Professional		$232.82	$279.38	$345.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.07 / $252.74 / $458.04	Facility		$88.07	$252.74	$458.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $114.81 / $1,206.82	Facility		$81.90	$114.81	$1,206.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00