Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.25 / $4,796.00 / $10,767.00	Facility		$1,178.25	$4,796.00	$10,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $990.25 / $1,188.30 / $1,467.75	Professional		$990.25	$1,188.30	$1,467.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,099.91 / $1,381.30 / $1,991.24	Facility		$1,099.91	$1,381.30	$1,991.24
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $172.71 / $225.15 / $283.00	Facility	AS	$172.71	$225.15	$283.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $995.04 / $1,359.29 / $2,602.98	Facility		$995.04	$1,359.29	$2,602.98
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