Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.24 / $4,771.00 / $9,539.00	Facility		$100.24	$4,771.00	$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 $80.54 / $96.65 / $119.20	Professional		$80.54	$96.65	$119.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $116.24 / $163.76	Facility		$90.07	$116.24	$163.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.11 / $115.01 / $1,621.00	Facility		$83.11	$115.01	$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