Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.07 / $4,771.00 / $9,539.00	Facility		$1,109.07	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $940.10 / $1,128.11 / $1,393.40	Professional		$940.10	$1,128.11	$1,393.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,043.92 / $1,302.78 / $1,867.61	Facility		$1,043.92	$1,302.78	$1,867.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $948.38 / $1,275.18 / $2,458.51	Facility		$948.38	$1,275.18	$2,458.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00