Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.16 / $3,991.00 / $10,767.00	Facility		$979.16	$3,991.00	$10,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.09 / $969.71 / $1,195.97	Professional		$808.09	$969.71	$1,195.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $963.59 / $1,168.55 / $1,599.58	Facility		$963.59	$1,168.55	$1,599.58
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $233.71 / $259.01 / $344.37	Facility	80	$233.71	$259.01	$344.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $163.60 / $181.31 / $241.06	Facility	AS	$163.60	$181.31	$241.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $890.78 / $1,158.01 / $2,175.28	Facility		$890.78	$1,158.01	$2,175.28
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