Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.47 / $2,561.00 / $8,294.00	Facility		$570.47	$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 $472.63 / $567.16 / $699.49	Professional		$472.63	$567.16	$699.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $539.70 / $684.50 / $1,000.42	Facility		$539.70	$684.50	$1,000.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $488.19 / $653.36 / $3,512.00	Facility		$488.19	$653.36	$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