Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.66 / $5,412.00 / $14,187.00	Facility		$453.66	$5,412.00	$14,187.00
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 $330.65 / $396.78 / $489.36	Professional		$330.65	$396.78	$489.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $384.39 / $481.27 / $680.49	Facility		$384.39	$481.27	$680.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $343.58 / $470.40 / $16,786.00	Facility		$343.58	$470.40	$16,786.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $22,621.00 / $47,239.00	Facility		$12,301.00	$22,621.00	$47,239.00