Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.78 / $3,633.00 / $8,623.79	Facility		$449.78	$3,633.00	$8,623.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.19 / $1,239.95 / $1,529.27	Professional		$861.19	$1,239.95	$1,529.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $292.26 / $1,039.50 / $1,966.22	Facility		$292.26	$1,039.50	$1,966.22
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $673.59 / $2,283.56 / $3,236.81	Facility	50	$673.59	$2,283.56	$3,236.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $278.25 / $364.61 / $4,071.00	Facility		$278.25	$364.61	$4,071.00
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