Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,128.61 / $19,498.45	Facility		$457.09	$5,128.61	$19,498.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $52,480.75 / $54,954.09	Facility		$43,651.58	$52,480.75	$54,954.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $446.68	Professional		$302.00	$363.08	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $794.33	Facility		$346.74	$501.19	$794.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $30,199.52	Facility		$331.13	$489.78	$30,199.52
United Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $37,153.52 / $61,659.50	Facility		$10,964.78	$37,153.52	$61,659.50