Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.47 / $4,796.00 / $9,918.00	Facility		$900.47	$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 $748.16 / $897.79 / $1,107.28	Professional		$748.16	$897.79	$1,107.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $900.47 / $1,105.11 / $1,647.86	Facility		$900.47	$1,105.11	$1,647.86
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $145.26 / $196.65 / $249.12	Facility	AS	$145.26	$196.65	$249.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $822.25 / $1,073.04 / $9,929.00	Facility		$822.25	$1,073.04	$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