Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.39 / $4,771.00 / $9,539.00	Facility		$168.39	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,747.28 / $3,960.54 / $5,339.24	Facility		$2,747.28	$3,960.54	$5,339.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $156.41 / $192.90	Professional		$130.34	$156.41	$192.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $206.04 / $308.14	Facility		$166.32	$206.04	$308.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.63 / $204.19 / $3,658.00	Facility		$150.63	$204.19	$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