Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.44 / $3,645.00 / $8,928.75	Facility		$454.44	$3,645.00	$8,928.75
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 $389.70 / $467.64 / $576.76	Professional		$389.70	$467.64	$576.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $557.73 / $816.17	Facility		$443.02	$557.73	$816.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $400.81 / $559.37 / $6,585.00	Facility		$400.81	$559.37	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00