Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $4,390.00 / $10,767.00	Facility		$119.37	$4,390.00	$10,767.00
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 $97.68 / $117.22 / $144.57	Professional		$97.68	$117.22	$144.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.07 / $146.06 / $211.45	Facility		$114.07	$146.06	$211.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $103.11 / $141.47 / $1,169.82	Facility		$103.11	$141.47	$1,169.82
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,375.00	Facility		$296.00	$1,045.00	$2,375.00