Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.45 / $3,988.00 / $8,750.00	Facility		$377.45	$3,988.00	$8,750.00
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 $386.71 / $464.05 / $572.33	Professional		$386.71	$464.05	$572.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $248.58 / $418.87 / $664.71	Facility		$248.58	$418.87	$664.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $252.82 / $349.05 / $3,512.00	Facility		$252.82	$349.05	$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