Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.21 / $5,087.00 / $8,294.00	Facility		$823.21	$5,087.00	$8,294.00
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 $684.60 / $821.52 / $1,013.21	Professional		$684.60	$821.52	$1,013.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $780.10 / $964.15 / $1,344.00	Facility		$780.10	$964.15	$1,344.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $705.76 / $950.82 / $9,929.00	Facility		$705.76	$950.82	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,150.00 / $25,331.00 / $64,092.00	Facility		$12,150.00	$25,331.00	$64,092.00