Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.81 / $5,412.00 / $14,187.00	Facility		$262.81	$5,412.00	$14,187.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.34 / $258.41 / $318.70	Professional		$215.34	$258.41	$318.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $244.17 / $300.69 / $429.34	Facility		$244.17	$300.69	$429.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $239.76 / $315.72 / $3,658.00	Facility		$239.76	$315.72	$3,658.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00