Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $3,633.00 / $8,920.00	Facility		$171.52	$3,633.00	$8,920.00
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 $142.38 / $170.86 / $200.95	Professional		$142.38	$170.86	$200.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $208.95 / $286.25	Facility		$156.41	$208.95	$286.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $206.01 / $3,512.00	Facility		$158.49	$206.01	$3,512.00
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