Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $5,011.87 / $8,709.64	Facility		$389.05	$5,011.87	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $1,047.13	Professional		$331.13	$407.38	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $870.96	Professional		$446.68	$549.54	$870.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $724.44	Facility		$331.13	$478.63	$724.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $467.74 / $8,709.64	Facility		$316.23	$467.74	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,413.10 / $14,125.38	Facility		$3,890.45	$7,413.10	$14,125.38