Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.02 / $5,360.00 / $9,975.00	Facility		$902.02	$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 $766.39 / $919.67 / $1,134.26	Professional		$766.39	$919.67	$1,134.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $889.90 / $1,081.56 / $1,556.01	Facility		$889.90	$1,081.56	$1,556.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $808.54 / $1,065.35 / $3,826.00	Facility		$808.54	$1,065.35	$3,826.00
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