Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.05 / $3,226.00 / $8,294.00	Facility		$69.05	$3,226.00	$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 $80.92 / $97.10 / $119.76	Professional		$80.92	$97.10	$119.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.05 / $98.88 / $138.94	Facility		$69.05	$98.88	$138.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $83.25 / $1,171.00	Facility		$62.58	$83.25	$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