Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.08 / $5,282.00 / $15,165.00	Facility		$260.08	$5,282.00	$15,165.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.09 / $250.91 / $309.45	Professional		$209.09	$250.91	$309.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.56 / $318.74 / $472.89	Facility		$254.56	$318.74	$472.89
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $50.00 / $56.19 / $81.94	Facility	AS	$50.00	$56.19	$81.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $309.44 / $3,658.00	Facility		$229.22	$309.44	$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