Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $2,561.00 / $8,294.00	Facility		$119.17	$2,561.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $127.37 / $157.09	Professional		$106.14	$127.37	$157.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.55 / $154.71 / $218.08	Facility		$111.55	$154.71	$218.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.80 / $157.03 / $1,171.00	Facility		$120.80	$157.03	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00