Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.52 / $6,146.00 / $14,798.00	Facility		$893.52	$6,146.00	$14,798.00
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 $761.63 / $913.96 / $1,127.21	Professional		$761.63	$913.96	$1,127.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $884.56 / $1,075.27 / $1,542.64	Facility		$884.56	$1,075.27	$1,542.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $801.31 / $1,057.23 / $3,797.72	Facility		$801.31	$1,057.23	$3,797.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00