Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.80 / $5,412.00 / $11,425.00	Facility		$813.80	$5,412.00	$11,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,922.00 / $15,873.55 / $22,108.63	Facility		$6,922.00	$15,873.55	$22,108.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.70 / $828.84 / $1,022.24	Professional		$690.70	$828.84	$1,022.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $730.05 / $924.76 / $1,329.46	Facility		$730.05	$924.76	$1,329.46
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $106.64 / $131.08 / $201.46	Facility	AS	$106.64	$131.08	$201.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $561.07 / $912.44 / $9,929.00	Facility		$561.07	$912.44	$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