Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.64 / $4,771.00 / $9,539.00	Facility		$323.64	$4,771.00	$9,539.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.00 / $4,699.53 / $6,545.49	Facility		$3,289.00	$4,699.53	$6,545.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.49 / $312.58 / $385.53	Professional		$260.49	$312.58	$385.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $291.05 / $397.20 / $596.77	Facility		$291.05	$397.20	$596.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $49.02 / $62.17 / $77.30	Facility	AS	$49.02	$62.17	$77.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.95 / $405.84 / $1,736.00	Facility		$302.95	$405.84	$1,736.00
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