Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.66 / $6,518.00 / $12,600.00	Facility		$725.66	$6,518.00	$12,600.00
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 $636.42 / $763.72 / $941.92	Professional		$636.42	$763.72	$941.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $618.39 / $857.60 / $1,226.36	Facility		$618.39	$857.60	$1,226.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $646.37 / $827.53 / $3,512.00	Facility		$646.37	$827.53	$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