Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,645.00 / $8,294.00	Facility		$319.00	$3,645.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $378.00 / $466.20	Professional		$315.00	$378.00	$466.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.80 / $369.30 / $607.48	Facility		$220.80	$369.30	$607.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.97 / $252.99 / $2,251.00	Facility		$190.97	$252.99	$2,251.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $4,428.00	Facility		$1,066.00	$1,893.00	$4,428.00