Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.31 / $5,087.00 / $8,920.00	Facility		$675.31	$5,087.00	$8,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.82 / $654.98 / $807.81	Professional		$545.82	$654.98	$807.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $668.50 / $828.79 / $1,235.82	Facility		$668.50	$828.79	$1,235.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.43 / $145.46 / $196.24	Facility	AS	$133.43	$145.46	$196.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $600.83 / $803.00 / $9,929.00	Facility		$600.83	$803.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00