Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.40 / $5,048.00 / $14,070.19	Facility		$944.40	$5,048.00	$14,070.19
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 $760.00 / $912.00 / $1,124.80	Professional		$760.00	$912.00	$1,124.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.32 / $1,082.81 / $1,542.80	Facility		$870.32	$1,082.81	$1,542.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $852.04 / $1,122.98 / $3,935.95	Facility		$852.04	$1,122.98	$3,935.95
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