Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.76 / $5,636.00 / $11,024.00	Facility		$530.76	$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 $438.24 / $525.89 / $648.60	Professional		$438.24	$525.89	$648.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $651.39 / $912.15	Facility		$494.25	$651.39	$912.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $481.36 / $631.13 / $4,071.00	Facility		$481.36	$631.13	$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