Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.99 / $4,796.00 / $9,918.00	Facility		$176.99	$4,796.00	$9,918.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.51 / $171.01 / $210.91	Professional		$142.51	$171.01	$210.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.99 / $212.20 / $289.14	Facility		$176.99	$212.20	$289.14
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $42.44 / $46.91 / $62.32	Facility	80	$42.44	$46.91	$62.32
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $29.71 / $32.84 / $43.62	Facility	AS	$29.71	$32.84	$43.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.88 / $209.14 / $1,621.00	Facility		$160.88	$209.14	$1,621.00
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