Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.83 / $5,412.00 / $11,425.00	Facility		$191.83	$5,412.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $203.52 / $251.01	Professional		$169.60	$203.52	$251.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.95 / $214.07 / $324.19	Facility		$166.95	$214.07	$324.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $151.72 / $215.80 / $1,683.00	Facility		$151.72	$215.80	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00