Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.00 / $1,161.00 / $1,251.00	Facility		$901.00	$1,161.00	$1,251.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $162.75 / $162.75 / $162.75	Facility		$162.75	$162.75	$162.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $4,071.00 / $10,945.00	Facility		$19.89	$4,071.00	$10,945.00