Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.90 / $135.62 / $392.41	Facility		$126.90	$135.62	$392.41
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 $162.77 / $169.55 / $177.29	Professional		$162.77	$169.55	$177.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.79 / $147.94 / $221.55	Facility		$119.79	$147.94	$221.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $285.81 / $9,929.00	Facility		$86.31	$285.81	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00