Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $2,004.00 / $8,294.00	Facility		$77.50	$2,004.00	$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 $90.34 / $108.41 / $133.69	Professional		$90.34	$108.41	$133.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $110.54 / $156.30	Facility		$77.31	$110.54	$156.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.91 / $93.01 / $1,171.00	Facility		$69.91	$93.01	$1,171.00
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