Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.91 / $5,412.00 / $11,425.00	Facility		$1,164.91	$5,412.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,814.00 / $13,820.00 / $14,999.00	Facility		$10,814.00	$13,820.00	$14,999.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.07 / $1,173.68 / $1,447.54	Professional		$978.07	$1,173.68	$1,447.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,109.94 / $1,425.61 / $1,903.04	Facility		$1,109.94	$1,425.61	$1,903.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $978.08 / $1,310.54 / $2,441.19	Facility		$978.08	$1,310.54	$2,441.19
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,375.00	Facility		$296.00	$1,045.00	$2,375.00