Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.24 / $4,032.00 / $21,562.00	Facility		$394.24	$4,032.00	$21,562.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,917.00 / $35,151.00 / $39,057.00	Facility		$26,917.00	$35,151.00	$39,057.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.06 / $1,392.07 / $1,739.39	Professional		$1,160.06	$1,392.07	$1,739.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $252.54 / $1,160.06 / $2,962.64	Facility		$252.54	$1,160.06	$2,962.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.08 / $287.87 / $10,945.00	Facility		$218.08	$287.87	$10,945.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00