Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.02 / $5,293.00 / $10,767.00	Facility		$428.02	$5,293.00	$10,767.00
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 $314.20 / $377.04 / $465.02	Professional		$314.20	$377.04	$465.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.39 / $453.70 / $642.03	Facility		$367.39	$453.70	$642.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $327.89 / $447.57 / $16,786.00	Facility		$327.89	$447.57	$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