Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.57 / $3,645.00 / $9,539.00	Facility		$476.57	$3,645.00	$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 $262.60 / $315.12 / $388.65	Professional		$262.60	$315.12	$388.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $296.39 / $389.50 / $550.04	Facility		$296.39	$389.50	$550.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $280.47 / $377.85 / $3,512.00	Facility		$280.47	$377.85	$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