Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.07 / $3,645.00 / $8,294.00	Facility		$786.07	$3,645.00	$8,294.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.51 / $798.61 / $984.95	Professional		$665.51	$798.61	$984.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $728.06 / $926.85 / $1,301.54	Facility		$728.06	$926.85	$1,301.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $92.73 / $139.79 / $193.23	Facility	AS	$92.73	$139.79	$193.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $648.12 / $892.05 / $7,902.00	Facility		$648.12	$892.05	$7,902.00
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