Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.00 / $5,087.00 / $8,294.00	Facility		$940.00	$5,087.00	$8,294.00
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 $831.29 / $1,074.65 / $1,270.04	Professional		$831.29	$1,074.65	$1,270.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $885.12 / $1,102.47 / $1,696.90	Facility		$885.12	$1,102.47	$1,696.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.99 / $192.50 / $301.70	Facility	AS	$140.99	$192.50	$301.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $845.58 / $1,116.28 / $3,696.63	Facility		$845.58	$1,116.28	$3,696.63
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