Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.06 / $4,771.00 / $9,539.00	Facility		$904.06	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.70 / $908.04 / $1,119.92	Professional		$756.70	$908.04	$1,119.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $874.18 / $1,068.44 / $1,544.19	Facility		$874.18	$1,068.44	$1,544.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $789.28 / $1,027.44 / $2,070.00	Facility		$789.28	$1,027.44	$2,070.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00