Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.19 / $4,771.00 / $9,539.00	Facility		$226.19	$4,771.00	$9,539.00
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 $171.44 / $205.73 / $253.73	Professional		$171.44	$205.73	$253.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.32 / $266.93 / $382.26	Facility		$196.32	$266.93	$382.26
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $42.74 / $45.65 / $55.81	Facility	AS	$42.74	$45.65	$55.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $198.27 / $264.75 / $3,658.00	Facility		$198.27	$264.75	$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