Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.40 / $4,390.00 / $9,539.00	Facility		$420.40	$4,390.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.00 / $4,699.53 / $6,545.49	Facility		$3,289.00	$4,699.53	$6,545.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.11 / $405.73 / $500.40	Professional		$338.11	$405.73	$500.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $377.73 / $496.83 / $739.39	Facility		$377.73	$496.83	$739.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $375.98 / $502.82 / $1,736.00	Facility		$375.98	$502.82	$1,736.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00