Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $4,796.00 / $9,347.59	Facility		$1,538.00	$4,796.00	$9,347.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $727.18 / $930.79 / $1,097.81	Professional		$727.18	$930.79	$1,097.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $790.32 / $1,000.90 / $1,450.97	Facility		$790.32	$1,000.90	$1,450.97
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.96 / $155.26 / $273.47	Facility	AS	$129.96	$155.26	$273.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $735.56 / $967.48 / $3,295.02	Facility		$735.56	$967.48	$3,295.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00