Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.91 / $3,645.00 / $9,620.00	Facility		$587.91	$3,645.00	$9,620.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $320.17 / $394.88	Professional		$266.81	$320.17	$394.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $266.81 / $394.44 / $622.12	Facility		$266.81	$394.44	$622.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $321.01 / $429.56 / $3,512.00	Facility		$321.01	$429.56	$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