Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.08 / $4,796.00 / $9,539.00	Facility		$1,153.08	$4,796.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,790.00 / $65,912.03 / $91,802.10	Facility		$30,790.00	$65,912.03	$91,802.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.00 / $1,156.80 / $1,426.72	Professional		$964.00	$1,156.80	$1,426.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,059.77 / $1,354.55 / $2,065.40	Facility		$1,059.77	$1,354.55	$2,065.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $222.43 / $254.90 / $289.16	Facility	AS	$222.43	$254.90	$289.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,048.27 / $1,373.19 / $4,444.25	Facility		$1,048.27	$1,373.19	$4,444.25
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