Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.45 / $3,645.00 / $8,294.00	Facility		$416.45	$3,645.00	$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 $374.00 / $448.80 / $553.52	Professional		$374.00	$448.80	$553.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $365.73 / $495.99 / $701.44	Facility		$365.73	$495.99	$701.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $380.27 / $489.07 / $3,512.00	Facility		$380.27	$489.07	$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