Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.48 / $4,771.00 / $10,767.00	Facility		$483.48	$4,771.00	$10,767.00
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 $328.71 / $394.45 / $486.49	Professional		$328.71	$394.45	$486.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $410.96 / $569.00 / $789.84	Facility		$410.96	$569.00	$789.84
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $87.91 / $89.83 / $119.16	Facility	AS	$87.91	$89.83	$119.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $398.41 / $556.55 / $3,658.00	Facility		$398.41	$556.55	$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