Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.24 / $5,048.22 / $11,425.00	Facility		$1,197.24	$5,048.22	$11,425.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17,260.16 / $17,260.16 / $17,260.16	Facility	50	$17,260.16	$17,260.16	$17,260.16
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 $1,113.75 / $1,336.50 / $1,648.35	Professional		$1,113.75	$1,336.50	$1,648.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,197.24 / $1,564.03 / $2,204.65	Facility		$1,197.24	$1,564.03	$2,204.65
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,674.15 / $2,571.73 / $3,554.34	Facility	50	$1,674.15	$2,571.73	$3,554.34
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $223.22 / $342.90 / $473.91	Facility	80	$223.22	$342.90	$473.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $156.25 / $240.03 / $331.74	Facility	AS	$156.25	$240.03	$331.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,127.29 / $1,527.95 / $6,585.00	Facility		$1,127.29	$1,527.95	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00