Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.94 / $2,561.00 / $8,294.00	Facility		$549.94	$2,561.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.36 / $568.03 / $704.51	Professional		$473.36	$568.03	$704.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $494.34 / $603.47 / $903.69	Facility		$494.34	$603.47	$903.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $370.31 / $604.70 / $3,512.00	Facility		$370.31	$604.70	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00