Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.58 / $2,561.00 / $8,294.00	Facility		$115.58	$2,561.00	$8,294.00
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 $133.25 / $159.90 / $197.21	Professional		$133.25	$159.90	$197.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.05 / $167.01 / $253.92	Facility		$113.05	$167.01	$253.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $127.18 / $1,683.00	Facility		$97.28	$127.18	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00