Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.88 / $4,771.00 / $9,539.00	Facility		$799.88	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,665.00 / $10,686.60 / $14,884.27	Facility		$6,665.00	$10,686.60	$14,884.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.69 / $784.43 / $967.46	Professional		$653.69	$784.43	$967.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $775.22 / $981.67 / $1,407.52	Facility		$775.22	$981.67	$1,407.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $686.93 / $912.42 / $3,658.00	Facility		$686.93	$912.42	$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