Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.53 / $5,412.00 / $11,024.00	Facility		$945.53	$5,412.00	$11,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.83 / $931.00 / $1,148.23	Professional		$775.83	$931.00	$1,148.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $652.45 / $1,040.08 / $1,544.65	Facility		$652.45	$1,040.08	$1,544.65
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $89.54 / $122.09 / $232.99	Facility	AS	$89.54	$122.09	$232.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $480.23 / $1,057.85 / $7,420.00	Facility		$480.23	$1,057.85	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00