Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.28 / $5,412.00 / $11,025.00	Facility		$875.28	$5,412.00	$11,025.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.34 / $912.41 / $1,125.30	Professional		$760.34	$912.41	$1,125.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $751.82 / $1,032.68 / $1,429.89	Facility		$751.82	$1,032.68	$1,429.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.10 / $1,026.09 / $5,122.00	Facility		$724.10	$1,026.09	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00