Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.86 / $3,645.00 / $8,294.00	Facility		$629.86	$3,645.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.92 / $651.52 / $803.54	Professional		$542.92	$651.52	$803.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $586.04 / $741.44 / $1,064.46	Facility		$586.04	$741.44	$1,064.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $521.08 / $716.89 / $3,512.00	Facility		$521.08	$716.89	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00