Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.56 / $4,796.00 / $9,918.00	Facility		$748.56	$4,796.00	$9,918.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.51 / $748.21 / $922.79	Professional		$623.51	$748.21	$922.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $748.56 / $918.69 / $1,369.86	Facility		$748.56	$918.69	$1,369.86
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $121.25 / $163.44 / $184.48	Facility	AS	$121.25	$163.44	$184.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $682.84 / $897.75 / $9,929.00	Facility		$682.84	$897.75	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00