Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.91 / $4,771.00 / $9,539.00	Facility		$214.91	$4,771.00	$9,539.00
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 $175.65 / $210.78 / $259.95	Professional		$175.65	$210.78	$259.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.91 / $251.91 / $357.05	Facility		$201.91	$251.91	$357.05
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $48.20 / $56.16 / $75.76	Facility	80	$48.20	$56.16	$75.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.95 / $247.18 / $1,621.00	Facility		$183.95	$247.18	$1,621.00
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