Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $4,897.79 / $8,912.51	Facility		$147.91	$4,897.79	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,709.64 / $12,022.64	Facility		$6,918.31	$8,709.64	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $151.36	Professional		$102.33	$123.03	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $186.21 / $275.42	Facility		$117.49	$186.21	$275.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $10,000.00	Facility		$120.23	$194.98	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,511.89 / $14,791.08	Facility		$1,122.02	$2,511.89	$14,791.08