Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.66 / $5,412.00 / $11,425.00	Facility		$256.66	$5,412.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.82 / $275.77 / $340.13	Professional		$229.82	$275.77	$340.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.23 / $268.33 / $419.29	Facility		$182.23	$268.33	$419.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $286.89 / $6,585.00	Facility		$158.91	$286.89	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00