Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.61 / $4,771.00 / $9,539.00	Facility		$167.61	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $159.08 / $196.20	Professional		$132.57	$159.08	$196.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.86 / $202.85 / $295.19	Facility		$165.86	$202.85	$295.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $202.98 / $3,658.00	Facility		$152.16	$202.98	$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