Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.29 / $4,796.00 / $9,539.00	Facility		$912.29	$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 $768.39 / $922.07 / $1,137.22	Professional		$768.39	$922.07	$1,137.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $844.67 / $1,071.32 / $1,632.43	Facility		$844.67	$1,071.32	$1,632.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $175.80 / $201.41 / $228.54	Facility	AS	$175.80	$201.41	$228.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $829.36 / $1,086.46 / $3,796.56	Facility		$829.36	$1,086.46	$3,796.56
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