Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.26 / $4,898.00 / $11,024.00	Facility		$602.26	$4,898.00	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.69 / $528.83 / $652.22	Professional		$440.69	$528.83	$652.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $508.62 / $654.92 / $936.55	Facility		$508.62	$654.92	$936.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $501.65 / $659.98 / $21,219.00	Facility		$501.65	$659.98	$21,219.00
United Facility/Professional Facility Modifier Low / Median / High Price $20,499.00 / $40,200.00 / $81,661.00	Facility		$20,499.00	$40,200.00	$81,661.00