Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.09 / $4,771.00 / $9,918.00	Facility		$1,075.09	$4,771.00	$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 $887.26 / $1,064.71 / $1,313.14	Professional		$887.26	$1,064.71	$1,313.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,061.14 / $1,296.47 / $1,891.09	Facility		$1,061.14	$1,296.47	$1,891.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $172.57 / $234.13 / $264.75	Facility	AS	$172.57	$234.13	$264.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $931.05 / $1,249.98 / $9,929.00	Facility		$931.05	$1,249.98	$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