Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.57 / $4,771.00 / $9,539.00	Facility		$981.57	$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 $814.68 / $977.62 / $1,205.73	Professional		$814.68	$977.62	$1,205.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $966.67 / $1,182.79 / $1,726.32	Facility		$966.67	$1,182.79	$1,726.32
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $157.82 / $198.49 / $241.68	Facility	AS	$157.82	$198.49	$241.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $878.99 / $1,137.60 / $2,185.91	Facility		$878.99	$1,137.60	$2,185.91
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