Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.60 / $4,771.00 / $9,539.00	Facility		$1,041.60	$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 $859.48 / $1,031.38 / $1,272.03	Professional		$859.48	$1,031.38	$1,272.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,041.29 / $1,258.25 / $1,826.40	Facility		$1,041.29	$1,258.25	$1,826.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $167.53 / $224.55 / $256.50	Facility	AS	$167.53	$224.55	$256.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $931.16 / $1,210.18 / $2,233.64	Facility		$931.16	$1,210.18	$2,233.64
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