Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,630.78 / $9,549.93	Facility		$229.09	$3,630.78	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $575.44	Professional		$186.21	$229.09	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $501.19	Professional		$288.40	$363.08	$501.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $302.00 / $446.68	Facility		$213.80	$302.00	$446.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $5,248.07	Facility		$204.17	$288.40	$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