Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.92 / $8,294.00 / $17,390.00	Facility		$603.92	$8,294.00	$17,390.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40,096.00 / $47,452.00 / $53,038.00	Facility		$40,096.00	$47,452.00	$53,038.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.33 / $532.00 / $656.13	Professional		$443.33	$532.00	$656.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.65 / $665.37 / $992.15	Facility		$512.65	$665.37	$992.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $480.61 / $644.10 / $20,487.00	Facility		$480.61	$644.10	$20,487.00
United Facility/Professional Facility Modifier Low / Median / High Price $13,091.00 / $25,331.00 / $64,572.00	Facility		$13,091.00	$25,331.00	$64,572.00