Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.20 / $4,771.00 / $9,539.00	Facility		$641.20	$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 $411.72 / $494.06 / $609.35	Professional		$411.72	$494.06	$609.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $541.24 / $757.78 / $1,083.63	Facility		$541.24	$757.78	$1,083.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $477.99 / $704.07 / $3,658.00	Facility		$477.99	$704.07	$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