Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.15 / $4,643.00 / $10,637.11	Facility		$852.15	$4,643.00	$10,637.11
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 $533.58 / $640.29 / $789.70	Professional		$533.58	$640.29	$789.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $531.01 / $732.90 / $1,044.39	Facility		$531.01	$732.90	$1,044.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $551.86 / $734.85 / $3,512.00	Facility		$551.86	$734.85	$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