Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.24 / $5,636.00 / $11,024.00	Facility		$763.24	$5,636.00	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.12 / $469.34 / $578.86	Professional		$391.12	$469.34	$578.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $441.26 / $576.32 / $800.84	Facility		$441.26	$576.32	$800.84
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $809.03 / $931.49 / $1,282.01	Facility	50	$809.03	$931.49	$1,282.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $426.74 / $560.59 / $4,283.00	Facility		$426.74	$560.59	$4,283.00
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