Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.62 / $5,360.00 / $9,975.00	Facility		$898.62	$5,360.00	$9,975.00
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 $766.06 / $919.27 / $1,133.77	Professional		$766.06	$919.27	$1,133.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $889.55 / $1,081.10 / $1,554.49	Facility		$889.55	$1,081.10	$1,554.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $806.86 / $1,063.52 / $3,829.60	Facility		$806.86	$1,063.52	$3,829.60
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