Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.18 / $5,388.00 / $9,539.00	Facility		$440.18	$5,388.00	$9,539.00
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 $364.62 / $437.54 / $539.64	Professional		$364.62	$437.54	$539.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.73 / $529.62 / $789.74	Facility		$416.73	$529.62	$789.74
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $768.35 / $895.80 / $1,160.83	Facility	50	$768.35	$895.80	$1,160.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $384.62 / $505.73 / $3,512.00	Facility		$384.62	$505.73	$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