Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.76 / $4,796.00 / $9,539.00	Facility		$189.76	$4,796.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,665.00 / $10,686.60 / $14,884.27	Facility		$6,665.00	$10,686.60	$14,884.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.03 / $189.64 / $233.88	Professional		$158.03	$189.64	$233.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.02 / $223.77 / $341.18	Facility		$174.02	$223.77	$341.18
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $36.74 / $42.21 / $47.77	Facility	AS	$36.74	$42.21	$47.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $172.52 / $226.00 / $3,658.00	Facility		$172.52	$226.00	$3,658.00
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