Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.07 / $4,771.00 / $9,539.00	Facility		$912.07	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,202.99 / $17,356.06 / $23,861.81	Facility		$11,202.99	$17,356.06	$23,861.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.18 / $907.42 / $1,119.15	Professional		$756.18	$907.42	$1,119.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.07 / $1,131.47 / $1,669.09	Facility		$912.07	$1,131.47	$1,669.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $173.64 / $202.50 / $224.59	Facility	AS	$173.64	$202.50	$224.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $858.12 / $1,126.94 / $2,081.62	Facility		$858.12	$1,126.94	$2,081.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00