Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.30 / $1,850.91 / $8,294.00	Facility		$112.30	$1,850.91	$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 $140.97 / $169.16 / $208.64	Professional		$140.97	$169.16	$208.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.96 / $181.26 / $308.52	Facility		$110.96	$181.26	$308.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.71 / $132.43 / $3,512.00	Facility		$102.71	$132.43	$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