Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $7,079.46 / $17,378.01	Facility		$275.42	$7,079.46	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $199.53	Professional		$134.90	$162.18	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $371.54	Professional		$239.88	$302.00	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $257.04 / $363.08	Facility		$158.49	$257.04	$363.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $239.88 / $14,125.38	Facility		$151.36	$239.88	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09