Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.10 / $3,567.00 / $8,003.00	Facility		$242.10	$3,567.00	$8,003.00
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 $253.59 / $304.31 / $375.31	Professional		$253.59	$304.31	$375.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.11 / $280.70 / $412.05	Facility		$199.11	$280.70	$412.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.34 / $252.79 / $3,512.00	Facility		$190.34	$252.79	$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