Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,630.78 / $9,549.93	Facility		$549.54	$3,630.78	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $19,054.61 / $26,302.68	Facility		$11,748.98	$19,054.61	$26,302.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,513.56	Professional		$467.74	$588.84	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,148.15	Professional		$588.84	$741.31	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $691.83 / $1,023.29	Facility		$489.78	$691.83	$1,023.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $5,248.07	Facility		$457.09	$660.69	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46