Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.64 / $3,633.00 / $8,920.00	Facility		$100.64	$3,633.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $97.03 / $119.67	Professional		$80.86	$97.03	$119.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $116.66 / $164.41	Facility		$90.41	$116.66	$164.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.26 / $115.47 / $1,621.00	Facility		$85.26	$115.47	$1,621.00
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