Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.33 / $2,561.00 / $8,294.00	Facility		$223.33	$2,561.00	$8,294.00
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 $141.59 / $169.91 / $209.55	Professional		$141.59	$169.91	$209.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $208.84 / $311.39	Facility		$148.86	$208.84	$311.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $151.11 / $204.51 / $3,512.00	Facility		$151.11	$204.51	$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