Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,873.00	Facility		$1,538.00	$5,360.00	$9,873.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,902.08 / $6,116.00 / $9,735.00	Facility	50	$2,902.08	$6,116.00	$9,735.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.30 / $1,087.56 / $1,341.32	Professional		$906.30	$1,087.56	$1,341.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $969.47 / $1,264.58 / $1,763.77	Facility		$969.47	$1,264.58	$1,763.77
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,325.09 / $2,157.36 / $2,844.25	Facility	50	$1,325.09	$2,157.36	$2,844.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $176.68 / $287.64 / $379.23	Facility	80	$176.68	$287.64	$379.23
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $123.67 / $201.35 / $265.45	Facility	AS	$123.67	$201.35	$265.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $892.65 / $1,264.30 / $5,122.00	Facility		$892.65	$1,264.30	$5,122.00
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