Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.24 / $4,771.00 / $9,539.00	Facility		$91.24	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.32 / $2,001.45 / $5,768.00	Facility		$1,312.32	$2,001.45	$5,768.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $86.27 / $106.40	Professional		$71.89	$86.27	$106.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.47 / $110.67 / $165.38	Facility		$89.47	$110.67	$165.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $110.14 / $3,658.00	Facility		$80.63	$110.14	$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