Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.85 / $4,796.00 / $9,918.00	Facility		$822.85	$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 $683.87 / $820.64 / $1,012.13	Professional		$683.87	$820.64	$1,012.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $822.84 / $1,009.85 / $1,505.82	Facility		$822.84	$1,009.85	$1,505.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.51 / $179.51 / $232.19	Facility	AS	$133.51	$179.51	$232.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $749.76 / $978.45 / $2,070.00	Facility		$749.76	$978.45	$2,070.00
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