Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,570.40 / $7,079.46	Facility		$389.05	$2,570.40	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $512.86 / $660.69	Professional		$229.09	$512.86	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $724.44	Professional		$562.34	$691.83	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $741.31	Facility		$257.04	$467.74	$741.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $8,709.64	Facility		$257.04	$380.19	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38